Kathryn Louise Petelin, DO in Shawnee, KS

Kathryn Louise Petelin, DO is a medicare enrolled "Pediatrics" physician in Shawnee, Kansas. Her current practice location is 7405 Renner Rd, Shawnee, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 588-6300.

Kathryn Louise Petelin is licensed to practice in Kansas (license number 05-35594) 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 1265660872.

Contact Information

	Kathryn Louise Petelin, DO
	7405 Renner Rd, Shawnee, KS 66217-9414
	(913) 588-6300
	(913) 274-3515

Map and Direction

Physician's Profile

Full Name	Kathryn Louise Petelin
Gender	Female
Speciality	Pediatrics
Location	7405 Renner Rd, Shawnee, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265660872
Provider Enumeration Date: 06/23/2009
Last Update Date: 07/11/2025

Medicare PECOS Information:

PECOS PAC ID: 7517122021
Enrollment ID: I20120709000347

Medical Identifiers

Medical identifiers for Kathryn Louise Petelin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265660872	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	94-07215 (Kansas)	Secondary
208000000X	Pediatrics	05-35594 (Kansas)	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. Kathryn Louise Petelin allows following entities to bill medicare on her behalf.

Entity Name	Kansas University Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003858333 PECOS PAC ID: 8921911587 Enrollment ID: O20040401000328

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. Kathryn Louise Petelin 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
Kathryn Louise Petelin, DO 2106 Olathe Blvd Ms 4004, Kansas City, KS 66160-0001 Ph: (913) 588-6300	Kathryn Louise Petelin, DO 7405 Renner Rd, Shawnee, KS 66217-9414 Ph: (913) 588-6300

Reviews and Comments

Pediatrics Doctors in Shawnee, KS

Huda H. Alani, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7405 Renner Rd, Ku Medwest, Shawnee, KS 66217 Phone: 913-588-8400 Fax: 913-588-8413
Dr. Katherine A Phalen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7405 Renner Rd, Shawnee, KS 66217 Phone: 913-588-6300 Fax: 913-274-3515
Paul J. Brown, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7405 Renner Rd, Ku Medwest, Shawnee, KS 66217 Phone: 913-588-8400 Fax: 913-588-8413
Rozina A. Mohiuddin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7405 Renner Rd, Ku Medwest, Shawnee, KS 66217 Phone: 913-588-8400 Fax: 913-588-8413
Robert Breeden, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7405 Renner Rd, Shawnee, KS 66217 Phone: 913-588-6300

Kathryn Louise Petelin, DO - Medicare Pediatrics in Shawnee, KS