Dr Katherine Ann Beaudry, MD in Peoria, IL

Dr Katherine Ann Beaudry, MD is a medicare enrolled "Dermatology" physician in Peoria, Illinois. She went to Pennsylvania State University College Of Medicine and graduated in 2011 and has 14 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Central Illinois Dermatology Sc and her current practice location is 5401 N Knoxville Ave Ste 115, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 691-2903.

Dr Katherine Ann Beaudry is licensed to practice in Illinois (license number 036136919) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1659667954.

Contact Information

	Dr Katherine Ann Beaudry, MD
	5401 N Knoxville Ave Ste 115, Peoria, IL 61614-5095
	(309) 691-2903
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Katherine Ann Beaudry
Gender	Female
Speciality	Dermatology
Experience	14 Years
Location	5401 N Knoxville Ave Ste 115, Peoria, Illinois
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Katherine Ann Beaudry attended and graduated from Pennsylvania State University College Of Medicine in 2011

NPI Data:

NPI Number: 1659667954
Provider Enumeration Date: 06/24/2011
Last Update Date: 04/08/2020

Medicare PECOS Information:

PECOS PAC ID: 3375789134
Enrollment ID: I20150602002891

Medical Identifiers

Medical identifiers for Dr Katherine Ann Beaudry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659667954	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	036136919 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Francis Medical Center	Peoria, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Illinois Dermatology Sc	2860463510	5

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 Katherine Ann Beaudry allows following entities to bill medicare on her behalf.

Entity Name	Central Illinois Dermatology Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548358054 PECOS PAC ID: 2860463510 Enrollment ID: O20040804001797

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 Katherine Ann Beaudry 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 Katherine Ann Beaudry, MD 5401 N Knoxville Ave Ste 115, Peoria, IL 61614-5095 Ph: (309) 691-2903	Dr Katherine Ann Beaudry, MD 5401 N Knoxville Ave Ste 115, Peoria, IL 61614-5095 Ph: (309) 691-2903

Reviews and Comments

Dermatology Doctors in Peoria, IL

Taylor Marie Wells, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4909 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-712-4193
Dr. Carl William Soderstrom Jr., M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4909 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-674-7546
Dr. Janeen Noelle Buonaccorsi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-9052
Dr. Tesfu Hailu, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4909 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-674-7546 Fax: 309-691-9286
Christopher T Kroodsma, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 5401 N Knoxville Ave, Suite 115, Peoria, IL 61614 Phone: 309-691-2903 Fax: 309-691-2909
Ashley Steffens, Dermatology Medicare: May Accept Medicare Assignments Practice Location: 5401 N Knoxville Ave, Peoria, IL 61614 Phone: 093-691-2903 Fax: 309-691-2909
Harry C Stone, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5401 N Knoxville Ave, Suite 115, Peoria, IL 61614 Phone: 309-691-2903

Dr Katherine Ann Beaudry, MD - Medicare Dermatology in Peoria, IL