Matilda M Rosanwo, MD in Crystal Lake, IL

Matilda M Rosanwo, MD is a medicare enrolled "Family Medicine" physician in Crystal Lake, Illinois. She graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Northwestern Medical Faculty Foundation and her current practice location is 360 Station Dr, Crystal Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 338-6600.

Matilda M Rosanwo is licensed to practice in Illinois (license number 036104686) 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 1871570978.

Contact Information

	Matilda M Rosanwo, MD
	360 Station Dr, Crystal Lake, IL 60014
	(815) 338-6600
	(815) 455-8044

Map and Direction

Physician's Profile

Full Name	Matilda M Rosanwo
Gender	Female
Speciality	Family Practice
Experience	38 Years
Location	360 Station Dr, Crystal Lake, 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:

Matilda M Rosanwo graduated from medical school in 1986

NPI Data:

NPI Number: 1871570978
Provider Enumeration Date: 12/29/2005
Last Update Date: 10/22/2018

Medicare PECOS Information:

PECOS PAC ID: 1557381134
Enrollment ID: I20051128000666

Medical Identifiers

Medical identifiers for Matilda M Rosanwo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871570978	NPI	-	NPPES
036104686	Other	IL	STATE LICENSE
P00424928	Other	IL	RR MEDICARE
0361046863	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036104686 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northwestern Medicine Mchenry Hospital	Mchenry, IL	Hospital
Central Dupage Hospital	Winfield, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwestern Medical Faculty Foundation	4587576814	3255

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. Matilda M Rosanwo allows following entities to bill medicare on her behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

Entity Name	Gottlieb Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831170232 PECOS PAC ID: 9234156233 Enrollment ID: O20051028000728

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. Matilda M Rosanwo 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
Matilda M Rosanwo, MD 360 Station Dr, Crystal Lake, IL 60014-7978 Ph: (815) 338-6600	Matilda M Rosanwo, MD 360 Station Dr, Crystal Lake, IL 60014 Ph: (815) 338-6600

Reviews and Comments

Family Medicine Doctors in Crystal Lake, IL

Haydee Cantu-manley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 241 Commerce Dr Ste 102, Crystal Lake, IL 60014 Phone: 815-524-2200 Fax: 877-461-6742
Sana Fayyaz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 525 E Congress Pkwy Ste 350, Crystal Lake, IL 60014 Phone: 815-479-7490 Fax: 815-455-2654
Yanbing Li, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Station Dr, Crystal Lake, IL 60014 Phone: 815-338-6600 Fax: 815-477-9826
Natalie Kostinsky, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Station Dr, Crystal Lake, IL 60014 Phone: 815-338-6600 Fax: 815-455-8044
Dr. Racquel Norada Ramirez-dolleton V, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 781 Mchenry Ave, Crystal Lake, IL 60014 Phone: 815-459-2200 Fax: 815-459-0556
Dr. Susan R Loring, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 N Virginia St, Ste 190, Crystal Lake, IL 60014 Phone: 815-444-1966 Fax: 815-444-8699
Dr. Shruti Bahadur, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 Dakota St Ste A, Crystal Lake, IL 60012 Phone: 815-455-6000 Fax: 815-356-1104

Matilda M Rosanwo, MD - Medicare Family Practice in Crystal Lake, IL