Haley Marie Koth, DO in Orland Park, IL - Medicare Family Practice

Haley Marie Koth, DO is a medicare enrolled "Family Medicine" physician in Orland Park, Illinois. She went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2019 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Health Service Systems, Inc and her current practice location is 16660 107th St, Orland Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 403-8500.

Haley Marie Koth is licensed to practice in Illinois (license number 036-158134) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235797929.

Contact Information

	Haley Marie Koth, DO
	16660 107th St, Orland Park, IL 60467-8898
	(708) 403-8500
	(708) 364-7080

Map and Direction

Physician's Profile

Full Name	Haley Marie Koth
Gender	Female
Speciality	Family Practice
Experience	7 Years
Location	16660 107th St, Orland Park, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Haley Marie Koth attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2019

NPI Data:

NPI Number: 1235797929
Provider Enumeration Date: 05/29/2019
Last Update Date: 08/09/2023

Medicare PECOS Information:

PECOS PAC ID: 3476981259
Enrollment ID: I20220628003383

Medical Identifiers

Medical identifiers for Haley Marie Koth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235797929	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036-158134 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Health Service Systems, Inc	2264408699	42

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. Haley Marie Koth allows following entities to bill medicare on her behalf.

Entity Name	Dupage Medical Group Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535

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. Haley Marie Koth 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
Haley Marie Koth, DO Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200	Haley Marie Koth, DO 16660 107th St, Orland Park, IL 60467-8898 Ph: (708) 403-8500

Reviews and Comments

Family Medicine Doctors in Orland Park, IL

Dr. Linda C Evans Beckman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14741 Ravinia Ave, Orland Park, IL 60462 Phone: 708-226-8125
Sonia K Kaczor, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9550 W 167th St Ste 100, Orland Park, IL 60467 Phone: 708-873-4500
James A Ferrel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15300 West Ave, Orland Park, IL 60462 Phone: 708-923-7874 Fax: 708-923-7876
Eugenia Kyriakopoulos, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15300 West Ave, Orland Park, IL 60462 Phone: 708-590-5300 Fax: 708-590-5310
Dr. David A Cornell, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15300 West Ave, Orland Park, IL 60462 Phone: 708-460-5550 Fax: 708-226-2595
Maureen Theresa Butler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15300 West Ave Ste 220, Orland Park, IL 60462 Phone: 708-349-0747 Fax: 708-349-4551
Dr. Sanjana Soni, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15300 West Ave Bldg D2, Orland Park, IL 60462 Phone: 708-226-2440

Haley Marie Koth, DO - Medicare Family Practice in Orland Park, IL