Mr Ken Gabriel Doverte, NP - Medicare Nurse Practitioner in Park Ridge, IL

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Mr Ken Gabriel Doverte, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Park Ridge, Illinois. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Nova Medico Sc and his current practice location is 1420 Renaissance Dr Ste 207, Park Ridge, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 296-6161.

Mr Ken Gabriel Doverte is licensed to practice in Illinois (license number 209018290) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417425547.

Contact Information

Mr Ken Gabriel Doverte, NP
1420 Renaissance Dr Ste 207,
Park Ridge, IL 60068-1342
(847) 296-6161
(847) 574-7444

Map and Direction




Provider's Profile

Full NameMr Ken Gabriel Doverte
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location1420 Renaissance Dr Ste 207, Park Ridge, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Ken Gabriel Doverte graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1417425547
  • Provider Enumeration Date: 11/07/2018
  • Last Update Date: 03/31/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4183964133
  • Enrollment ID: I20190329000157

Medical Identifiers

Medical identifiers for Mr Ken Gabriel Doverte such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417425547NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 209018290 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nova Medico Sc91332198276

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Ken Gabriel Doverte allows following entities to bill medicare on his behalf.
Entity NameNova Medico Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871689208
PECOS PAC ID: 9133219827
Enrollment ID: O20071219000058
Entity NameDrynachan Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891044657
PECOS PAC ID: 2264718824
Enrollment ID: O20170824001273
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190507001451

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ken Gabriel Doverte is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Ken Gabriel Doverte, NP
1420 Renaissance Dr Ste 207,
Park Ridge, IL 60068-1342

Ph: (847) 296-6161		Mr Ken Gabriel Doverte, NP
1420 Renaissance Dr Ste 207,
Park Ridge, IL 60068-1342

Ph: (847) 296-6161

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.