Mary Kathryn Peterson, DO in Park Ridge, IL

Mary Kathryn Peterson, DO is a medicare enrolled "Family Medicine" physician in Park Ridge, Illinois. She went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2006 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Select Rehabilitation Llc and her current practice location is 205 S Northwest Hwy Ste 130, Park Ridge, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 292-5200.

Mary Kathryn Peterson is licensed to practice in Illinois (license number 036121820) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356508675.

Contact Information

	Mary Kathryn Peterson, DO
	205 S Northwest Hwy Ste 130, Park Ridge, IL 60068-5802
	(847) 292-5200
	Not Available

Map and Direction

Physician's Profile

Full Name	Mary Kathryn Peterson
Gender	Female
Speciality	Family Practice
Experience	20 Years
Location	205 S Northwest Hwy Ste 130, Park Ridge, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Kathryn Peterson attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2006

NPI Data:

NPI Number: 1356508675
Provider Enumeration Date: 05/22/2008
Last Update Date: 10/12/2020

Medicare PECOS Information:

PECOS PAC ID: 5799830626
Enrollment ID: I20090828000428

Medical Identifiers

Medical identifiers for Mary Kathryn Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356508675	NPI	-	NPPES
036121820	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036121820 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amita Health Resurrection Medical Center	Chicago, IL	Hospital
Advocate Lutheran General Hospital	Park ridge, IL	Hospital
Presence Saints Mary And Elizabeth Medical Center	Chicago, IL	Hospital
Presence Saint Francis Hospital	Evanston, IL	Hospital
Northshore University Healthsystem - Evanston Hospital	Evanston, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Select Rehabilitation Llc	9032020490	1538

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. Mary Kathryn Peterson allows following entities to bill medicare on her behalf.

Entity Name	Presence Healthcare Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932216819 PECOS PAC ID: 2860396769 Enrollment ID: O20050215000965

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. Mary Kathryn Peterson 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
Mary Kathryn Peterson, DO 205 S Northwest Hwy Ste 130, Park Ridge, IL 60068-5802 Ph: (847) 292-5200	Mary Kathryn Peterson, DO 205 S Northwest Hwy Ste 130, Park Ridge, IL 60068-5802 Ph: (847) 292-5200

Reviews and Comments

Family Medicine Doctors in Park Ridge, IL

Dr. John Charles Evans, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 S Northwest Hwy, Park Ridge, IL 60068 Phone: 847-696-3370 Fax: 847-696-9445
Rachel Reshmi George, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1775 Ballard Rd Fl 2, Park Ridge, IL 60068 Phone: 847-318-6020
Dr. Dimitrina Vizinas, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1440 Renaissance Dr Ste 300, Park Ridge, IL 60068 Phone: 847-254-9714 Fax: 847-803-1806
Michael K Prochazka, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1775 Ballard Rd Fl 2, Park Ridge, IL 60068 Phone: 847-318-6020
Dr. Agnieszka Kania, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1875 Dempster St, 506, Park Ridge, IL 60068 Phone: 847-593-6600
Rachel M Kurinsky, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1775 Ballard Rd, Park Ridge, IL 60068 Phone: 847-318-6020
Izabela Ana Pop, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1775 Ballard Rd Fl 2, Park Ridge, IL 60068 Phone: 847-318-6020

Mary Kathryn Peterson, DO - Medicare Family Practice in Park Ridge, IL