Jessica N Mistretta, DO - Medicare Pediatrics in Peoria, IL

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Jessica N Mistretta, DO is a medicare enrolled "Pediatrics" physician in Peoria, Illinois. Her current practice location is 8600 State Route 91 Ste 200, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 692-1030.

Jessica N Mistretta is licensed to practice in Illinois (license number 036163468) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033731500.

Contact Information

Jessica N Mistretta, DO
8600 State Route 91 Ste 200,
Peoria, IL 61615-7833
(309) 692-1030
(309) 691-3241

Map and Direction




Physician's Profile

Full NameJessica N Mistretta
GenderFemale
SpecialityPediatrics
Location8600 State Route 91 Ste 200, Peoria, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033731500
  • Provider Enumeration Date: 05/07/2020
  • Last Update Date: 07/01/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8729408810
  • Enrollment ID: I20230901001198

Medical Identifiers

Medical identifiers for Jessica N Mistretta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033731500NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 036163468 (Illinois)Primary
208000000XPediatrics 125.076260 (Illinois)Secondary

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. Jessica N Mistretta allows following entities to bill medicare on her behalf.
Entity NameMichael D. Tarantino, M.d. S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740430784
PECOS PAC ID: 6800950833
Enrollment ID: O20090205000359
Entity NameThe Bleeding And Clotting Disorders Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134424633
PECOS PAC ID: 6608051230
Enrollment ID: O20110426000500

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. Jessica N Mistretta 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
Jessica N Mistretta, DO
123 Edgar St,
Lincoln, IL 62656-1514

Ph: (573) 808-3508		Jessica N Mistretta, DO
8600 State Route 91 Ste 200,
Peoria, IL 61615-7833

Ph: (309) 692-1030

Reviews and Comments


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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).

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