Dr Kenneth Peter Justesen, DO - Medicare Anesthesiology in Rockford, IL

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Dr Kenneth Peter Justesen, DO is a medicare enrolled "Anesthesiology" physician in Rockford, Illinois. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 1991 and has 33 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Northwestern Medical Faculty Foundation, Orthomidwest Pllc and his current practice location is 5875 E Riverside Blvd, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 398-9491.

Dr Kenneth Peter Justesen is licensed to practice in Illinois (license number 036088819) 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 1174607121.

Contact Information

Dr Kenneth Peter Justesen, DO
5875 E Riverside Blvd,
Rockford, IL 61114-4937
(815) 398-9491
(815) 381-7498

Map and Direction




Physician's Profile

Full NameDr Kenneth Peter Justesen
GenderMale
SpecialityAnesthesiology
Experience33 Years
Location5875 E Riverside Blvd, Rockford, 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:
  • Dr Kenneth Peter Justesen attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 1991
  NPI Data:
  • NPI Number: 1174607121
  • Provider Enumeration Date: 10/25/2006
  • Last Update Date: 11/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1355527144
  • Enrollment ID: I20110511000754

Medical Identifiers

Medical identifiers for Dr Kenneth Peter Justesen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174607121NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 036088819 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwestern Medicine Mchenry HospitalMchenry, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwestern Medical Faculty Foundation45875768143255
Orthomidwest Pllc0749183713386

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 Kenneth Peter Justesen allows following entities to bill medicare on his behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541
Entity NameOrthomidwest Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730136474
PECOS PAC ID: 0749183713
Enrollment ID: O20040128000533
Entity NameCentral Dupage Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033149844
PECOS PAC ID: 5890696231
Enrollment ID: O20040303000601
Entity NameHuntley Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205282019
PECOS PAC ID: 0143515825
Enrollment ID: O20160819000149

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 Kenneth Peter Justesen 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
Dr Kenneth Peter Justesen, DO
Po Box 735263,
Chicago, IL 60673-5263

Ph: () -		Dr Kenneth Peter Justesen, DO
5875 E Riverside Blvd,
Rockford, IL 61114-4937

Ph: (815) 398-9491

Reviews and Comments


Anesthesiology Doctors in Rockford, IL

Mark J. Kellen, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114
Phone: 815-398-9491    Fax: 815-381-7498
Alan G Mowbray, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 2400 N Rockton Ave, Rockford, IL 61103
Phone: 815-971-4000    
John N. Edwards, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 6785 Weaver Rd, Suite D, Rockford, IL 61114
Phone: 815-633-8545    
Dr. Vishrut P. Naik, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114
Phone: 815-398-9491    
Adam Soliman, DO
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114
Phone: 815-398-9491    Fax: 815-381-7498
Dr. William Stephen Minore, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1235 N Mulford Rd Ste 222, Rockford, IL 61107
Phone: 815-397-8400    Fax: 815-229-0050
Stephen J. Martin, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114
Phone: 815-398-9491    Fax: 815-381-7498

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.