Ms Mina Lee Acevedo, APRN is a medicare enrolled "Nurse Practitioner" physician in Glenview, Illinois. Her current practice location is
2180 Pfingsten Rd # 2000, Glenview, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 570-2570.
Ms Mina Lee Acevedo is licensed to practice in Illinois (license number 209.023409) 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 1972174688.
Physician's Profile
| Full Name | Ms Mina Lee Acevedo |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 2180 Pfingsten Rd # 2000, Glenview, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972174688
- Provider Enumeration Date: 07/03/2021
- Last Update Date: 06/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 9436553526
- Enrollment ID: I20210811003699
Medical Identifiers
Medical identifiers for Ms Mina Lee Acevedo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972174688 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 209.023409 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209.023409 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209.023409 (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. Ms Mina Lee Acevedo allows following entities to bill medicare on her behalf.
| Entity Name | Endeavor Health Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
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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 Mina Lee Acevedo 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 Mina Lee Acevedo, APRN 2180 Pfingsten Rd # 2000, Glenview, IL 60026-1339 Ph: (847) 570-2570 | Ms Mina Lee Acevedo, APRN 2180 Pfingsten Rd # 2000, Glenview, IL 60026-1339 Ph: (847) 570-2570 |
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