Maritza Yesenia Estrada-o'brien, - Medicare Family Medicine in Mendota, IL

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Maritza Yesenia Estrada-o'brien, is a medicare enrolled "Family Medicine" physician in Mendota, Illinois. Her current practice location is 1405 E 12th St Ste 600, Mendota, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 538-7200.

Maritza Yesenia Estrada-o'brien is licensed to practice in Illinois (license number 036.158388) 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 1184187767.

Contact Information

Maritza Yesenia Estrada-o'brien,
1405 E 12th St Ste 600,
Mendota, IL 61342-9012
(815) 538-7200
Not Available

Map and Direction




Physician's Profile

Full NameMaritza Yesenia Estrada-o'brien
GenderFemale
SpecialityFamily Medicine
Location1405 E 12th St Ste 600, Mendota, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184187767
  • Provider Enumeration Date: 04/10/2019
  • Last Update Date: 05/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9234522079
  • Enrollment ID: I20220131001759

Medical Identifiers

Medical identifiers for Maritza Yesenia Estrada-o'brien such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184187767NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036.158388 (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. Maritza Yesenia Estrada-o'brien allows following entities to bill medicare on her behalf.
Entity NameMendota Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407872997
PECOS PAC ID: 2264335777
Enrollment ID: O20040131000102

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. Maritza Yesenia Estrada-o'brien 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
Maritza Yesenia Estrada-o'brien,
1405 E 12th St Ste 600,
Mendota, IL 61342-9012

Ph: (815) 538-7200		Maritza Yesenia Estrada-o'brien,
1405 E 12th St Ste 600,
Mendota, IL 61342-9012

Ph: (815) 538-7200

Reviews and Comments


Family Medicine Doctors in Mendota, IL

Amy M Matheis-soliman, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1405 East 12th Street, Suite 600, Mendota, IL 61342
Phone: 815-538-7200    Fax: 815-539-1718
Leonardo Lopez, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1311 Memorial Dr Ste 500, Mendota, IL 61342
Phone: 815-539-3141    Fax: 815-487-4901
David A Scholl, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1405 East 12th Street, Suite 600, Mendota, IL 61342
Phone: 815-538-7200    Fax: 815-539-1444
Zachary J Fulton, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1405 E 12th St Ste 200, Mendota, IL 61342
Phone: 815-539-1710    

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.