Dr Jacqueline Pena Velasco, MD in Urbana, IL

Dr Jacqueline Pena Velasco, MD is a medicare enrolled "Pediatrics" physician in Urbana, Illinois. Her current practice location is 611 W Park St, Urbana, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 383-3088.

Dr Jacqueline Pena Velasco is licensed to practice in Illinois (license number 036166076) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023390176.

Contact Information

	Dr Jacqueline Pena Velasco, MD
	611 W Park St, Urbana, IL 61801-2501
	(217) 383-3088
	(217) 383-4468

Map and Direction

Physician's Profile

Full Name	Dr Jacqueline Pena Velasco
Gender	Female
Speciality	Pediatrics
Location	611 W Park St, Urbana, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023390176
Provider Enumeration Date: 09/14/2011
Last Update Date: 03/05/2024

Medicare PECOS Information:

PECOS PAC ID: 2668741554
Enrollment ID: I20170710000421

Medical Identifiers

Medical identifiers for Dr Jacqueline Pena Velasco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023390176	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036166076 (Illinois)	Primary

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. Dr Jacqueline Pena Velasco allows following entities to bill medicare on her behalf.

Entity Name	Marshfield Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590

Entity Name	Mchs Hospitals Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096

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. Dr Jacqueline Pena Velasco 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 Address	Practice Location Address
Dr Jacqueline Pena Velasco, MD 611 W Park St, Urbana, IL 61801-2501 Ph: (217) 383-3088	Dr Jacqueline Pena Velasco, MD 611 W Park St, Urbana, IL 61801-2501 Ph: (217) 383-3088

Reviews and Comments

Pediatrics Doctors in Urbana, IL

Sarah J Willard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1710 E Windsor Rd, Urbana, IL 61802 Phone: 217-344-9440 Fax: 217-344-4377
Jaya Wadhawan, Pediatrics Medicare: Medicare Enrolled Practice Location: 1405 W Park St, Urbana, IL 61801 Phone: 217-560-6300
Dr. Elizabeth A Bello, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 611 W Park St, Pediatric Critical Care Medicine, Urbana, IL 61801 Phone: 217-383-3088
Malcolm C Hill, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1818 E Windsor Rd, Urbana, IL 61802 Phone: 217-255-9700 Fax: 217-255-9650
Rebecca J Josefson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1109 S Lincoln Ave, Urbana, IL 61801 Phone: 217-333-2700
Dr. Pramod Mallipaddi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311

Dr Jacqueline Pena Velasco, MD - Medicare Pediatrics in Urbana, IL