Kleven H Israelsen, DO - Medicare Emergency Medicine in Peru, IL

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Kleven H Israelsen, DO is a medicare enrolled "Emergency Medicine" physician in Peru, Illinois. His current practice location is 925 West St, Peru, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 223-3300.

Kleven H Israelsen is licensed to practice in Illinois (license number 036083343) 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 1740232560.

Contact Information

Kleven H Israelsen, DO
925 West St,
Peru, IL 61354-2757
(815) 223-3300
(815) 223-3394

Map and Direction




Physician's Profile

Full NameKleven H Israelsen
GenderMale
SpecialityEmergency Medicine
Location925 West St, Peru, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740232560
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 07/13/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 3274581541
  • Enrollment ID: I20050104000716

Medical Identifiers

Medical identifiers for Kleven H Israelsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740232560NPI-NPPES
036083343-8MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036083343 (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. Kleven H Israelsen allows following entities to bill medicare on his behalf.
Entity NameLawrence County Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1881643401
PECOS PAC ID: 7517144249
Enrollment ID: O20110607000309
Entity NameLawrence County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396024162
PECOS PAC ID: 7517144249
Enrollment ID: O20110815000691
Entity NameIntegritas Emergency Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790128817
PECOS PAC ID: 7113167446
Enrollment ID: O20130710000760
Entity NameStatera Health Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043874449
PECOS PAC ID: 0244565729
Enrollment ID: O20190708000284

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. Kleven H Israelsen 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
Kleven H Israelsen, DO
200 Goldenwood Ct,
Aurora, IL 60502-6972

Ph: (630) 585-9320		Kleven H Israelsen, DO
925 West St,
Peru, IL 61354-2757

Ph: (815) 223-3300

Reviews and Comments


Emergency Medicine Doctors in Peru, IL

Dr. Matthew Warren Wols, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 925 West St, Peru, IL 61354
Phone: 815-223-3300    
Dr. Steven Tyler Cullen, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 925 West St, Peru, IL 61354
Phone: 815-223-3300    
Dr. Lawrence J Powell, D.O.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 925 West St, Peru, IL 61354
Phone: 815-223-3300    

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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