Dr Kristopher Carson Rosburg, MD - Medicare Pediatrics in Peoria, IL

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Dr Kristopher Carson Rosburg, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Peoria, Illinois. His current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 677-7171.

Dr Kristopher Carson Rosburg is licensed to practice in Illinois (license number 036.149648) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578829321.

Contact Information

Dr Kristopher Carson Rosburg, MD
530 Ne Glen Oak Ave,
Peoria, IL 61637
(309) 677-7171
Not Available

Map and Direction




Physician's Profile

Full NameDr Kristopher Carson Rosburg
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578829321
  • Provider Enumeration Date: 04/05/2012
  • Last Update Date: 10/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2860792280
  • Enrollment ID: I20190919001278

Medical Identifiers

Medical identifiers for Dr Kristopher Carson Rosburg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578829321NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 036.149648 (Illinois)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 036.149648 (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 Kristopher Carson Rosburg allows following entities to bill medicare on his behalf.
Entity NameThe Board Of Trustees Of The University Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158

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 Kristopher Carson Rosburg 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 Kristopher Carson Rosburg, MD
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001

Ph: (309) 677-7171		Dr Kristopher Carson Rosburg, MD
530 Ne Glen Oak Ave,
Peoria, IL 61637

Ph: (309) 677-7171

Reviews and Comments


Pediatrics Doctors in Peoria, IL

Thomas James Mcmorrow, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2553    Fax: 309-655-2602
Jessica Ford-davis, D.O.
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Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2274    
Kelsey Elizabeth Grimes, DO
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Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2000    
Jessica N Mistretta, DO
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Medicare: Medicare Enrolled
Practice Location: 8600 State Route 91 Ste 200, Peoria, IL 61615
Phone: 309-692-1030    Fax: 309-691-3241
Mrs. Valeria Claudia Benavides Lopez, M.D., M.P.H.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-624-3313    
Dr. Gretchen L Kopec, M.D.
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Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-624-0615    
Dr. Patrick Joseph Rizzuto Iii, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-671-3000    

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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.

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