Ms Kristen Diane Smith, MD in Joliet, IL

Ms Kristen Diane Smith, MD is a medicare enrolled "Pediatrics" physician in Joliet, Illinois. Her current practice location is 2100 Glenwood Ave, Joliet, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 725-2121.

Ms Kristen Diane Smith is licensed to practice in Illinois (license number 125-055924) 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 1780918540.

Contact Information

	Ms Kristen Diane Smith, MD
	2100 Glenwood Ave, Joliet, IL 60435-5487
	(815) 725-2121
	Not Available

Map and Direction

Physician's Profile

Full Name	Ms Kristen Diane Smith
Gender	Female
Speciality	Pediatrics
Location	2100 Glenwood Ave, Joliet, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780918540
Provider Enumeration Date: 09/28/2009
Last Update Date: 05/16/2025

Medicare PECOS Information:

PECOS PAC ID: 3173837184
Enrollment ID: I20150805006655

Medical Identifiers

Medical identifiers for Ms Kristen Diane Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780918540	NPI	-	NPPES
036130223	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01096117A (Indiana)	Secondary
208M00000X	Hospitalist	01096117A (Indiana)	Secondary
208000000X	Pediatrics	125-055924 (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. Ms Kristen Diane Smith 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
Ms Kristen Diane Smith, MD Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200	Ms Kristen Diane Smith, MD 2100 Glenwood Ave, Joliet, IL 60435-5487 Ph: (815) 725-2121

Reviews and Comments

Pediatrics Doctors in Joliet, IL

Mr. Lorenzo Claude Aschinberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 114 Barney Drive, Joliet, IL 60435 Phone: 815-729-0521 Fax: 815-729-9060
Dr. Andrey Leonov, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2100 Glenwood Ave, Joliet, IL 60435 Phone: 815-514-2712
Mrs. Shelli Michelle Seebruch, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 114 Barney Drive, Joliet, IL 60435 Phone: 815-729-0521 Fax: 815-729-9060
Mr. Travis Andre Gayles, MD, PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 333 Madison Street, Joliet, IL 60435 Phone: 815-725-7133 Fax: 630-914-2469
Dr. Rajendra M. Choksi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 N Ottawa St, Joliet, IL 60432 Phone: 815-726-0311 Fax: 815-726-0520
Sugni Sukhani, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2100 Glenwood Ave, Joliet, IL 60435 Phone: 815-725-2121 Fax: 815-741-6303
Mr. Paul Simon Aschinberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 114 Barney Drive, Joliet, IL 60435 Phone: 815-729-0521 Fax: 815-729-9060

Ms Kristen Diane Smith, MD - Medicare Pediatrics in Joliet, IL