Gustavo A Pedraza, MD - Medicare Internal Medicine in Channahon, IL

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Gustavo A Pedraza, MD is a medicare enrolled "Internal Medicine" physician in Channahon, Illinois. His current practice location is 25220 W Reed St, Channahon, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 467-4114.

Gustavo A Pedraza is licensed to practice in Illinois (license number 036076520) 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 1194811943.

Contact Information

Gustavo A Pedraza, MD
25220 W Reed St,
Channahon, IL 60410
(815) 467-4114
Not Available

Map and Direction




Physician's Profile

Full NameGustavo A Pedraza
GenderMale
SpecialityInternal Medicine
Location25220 W Reed St, Channahon, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194811943
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9931243581
  • Enrollment ID: I20100219000400

Medical Identifiers

Medical identifiers for Gustavo A Pedraza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194811943NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036076520 (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. Gustavo A Pedraza allows following entities to bill medicare on his behalf.
Entity NameGustavo A . Pedraza M.d., Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134451594
PECOS PAC ID: 4385788934
Enrollment ID: O20100219000409
Entity NameDivine Hospice & Palliative Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437517547
PECOS PAC ID: 2062705957
Enrollment ID: O20200603000906

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. Gustavo A Pedraza 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
Gustavo A Pedraza, MD
25220 West Reed Street, Po Box 197,
Channahon, IL 60410

Ph: (815) 467-4114		Gustavo A Pedraza, MD
25220 W Reed St,
Channahon, IL 60410

Ph: (815) 467-4114

Reviews and Comments


Internal Medicine Doctors in Channahon, IL

Dr. Nuzhat Chalisa, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25259 Reed Street, Channahon, IL 60410
Phone: 815-467-0555    Fax: 815-467-9823
Lawton K Moy, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 27240 W Saxony Dr, Suite 201, Channahon, IL 60410
Phone: 815-467-1518    Fax: 815-467-7419

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.