Kenneth Craig Micetich, MD - Medicare Internal Medicine in Maywood, IL

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Kenneth Craig Micetich, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Maywood, Illinois. His current practice location is 2160 S 1st Ave, (15750 Marion Dr., Homer Glen, Il. 60491), Maywood, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 645-3400.

Kenneth Craig Micetich is licensed to practice in Illinois (license number 36056032) 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 1619954583.

Contact Information

Kenneth Craig Micetich, MD
2160 S 1st Ave, (15750 Marion Dr., Homer Glen, Il. 60491),
Maywood, IL 60153-3328
(708) 645-3400
(708) 645-3411

Map and Direction




Physician's Profile

Full NameKenneth Craig Micetich
GenderMale
SpecialityInternal Medicine - Hematology & Oncology
Location2160 S 1st Ave, Maywood, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619954583
  • Provider Enumeration Date: 12/30/2005
  • Last Update Date: 01/06/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 0244261089
  • Enrollment ID: I20050822001204

Medical Identifiers

Medical identifiers for Kenneth Craig Micetich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619954583NPI-NPPES
36056032MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology 36056032 (Illinois)Primary

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. Kenneth Craig Micetich 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
Kenneth Craig Micetich, MD
2160 S 1st Ave, (15750 Marion Dr., Homer Glen, Il. 60491),
Maywood, IL 60153-3328

Ph: (708) 645-3400		Kenneth Craig Micetich, MD
2160 S 1st Ave, (15750 Marion Dr., Homer Glen, Il. 60491),
Maywood, IL 60153-3328

Ph: (708) 645-3400

Reviews and Comments


Internal Medicine Doctors in Maywood, IL

Dr. Cathryn T Sawalski, DO, MBA
Hematology & Oncology
Medicare: Not Enrolled in Medicare
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 888-584-7888    
Janvi Dhaval Nanavati,
Hematology & Oncology
Medicare: Not Enrolled in Medicare
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 781-392-5475    
Holly Kramer, MD
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S First Ave, 101-1740 Loyola University Medical Center, Maywood, IL 60153
Phone: 708-216-9000    Fax: 708-216-9033
Dr. Stephanie Bochen Tsai, M.D.
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-9000    
Nicholas Poellinger, MD
Hematology & Oncology
Medicare: Not Enrolled in Medicare
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 888-584-7888    
Jonathan Rockwell Forrest, MD
Hematology & Oncology
Medicare: Not Enrolled in Medicare
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 999-999-9999    
Shelly Lo, MD
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Luh - North Ent., Rm. 7604, Maywood, IL 60153
Phone: 708-216-3304    Fax: 708-216-1259

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.