Mrs Terrah Koppie Gavrilos, APN, CNP - Medicare Nurse Practitioner in Lake Zurich, IL

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Mrs Terrah Koppie Gavrilos, APN, CNP is a medicare enrolled "Nurse Practitioner - Family" in Lake Zurich, Illinois. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northshore Dermatology Center Sc and her current practice location is 571 N Rand Rd, Lake Zurich, Illinois. You can reach out to her office (for appointments etc.) via phone at (224) 415-2044.

Mrs Terrah Koppie Gavrilos is licensed to practice in Illinois (license number 209015215) 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 1396250346.

Contact Information

Mrs Terrah Koppie Gavrilos, APN, CNP
571 N Rand Rd,
Lake Zurich, IL 60047-3134
(224) 415-2044
(847) 748-0277

Map and Direction




Provider's Profile

Full NameMrs Terrah Koppie Gavrilos
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location571 N Rand Rd, Lake Zurich, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Terrah Koppie Gavrilos graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1396250346
  • Provider Enumeration Date: 12/12/2017
  • Last Update Date: 11/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3476816091
  • Enrollment ID: I20180413000055

Medical Identifiers

Medical identifiers for Mrs Terrah Koppie Gavrilos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396250346NPI-NPPES
309010634OtherILAPN CONTROLLED SUBSTANCE
209105215OtherILAPN
041374819OtherILREGISTERED PROFESSIONAL NURSE
1396250346MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209015215 (Illinois)Primary
363LP0200XNurse Practitioner - Pediatrics 209015215 (Illinois)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northshore Dermatology Center Sc50928073215

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. Mrs Terrah Koppie Gavrilos allows following entities to bill medicare on her behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541
Entity NameNorthshore Dermatology Center Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841315884
PECOS PAC ID: 5092807321
Enrollment ID: O20070816000442
Entity NamePinnacle Dermatology Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861930984
PECOS PAC ID: 8628353380
Enrollment ID: O20170320000738

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. Mrs Terrah Koppie Gavrilos 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
Mrs Terrah Koppie Gavrilos, APN, CNP
571 N Rand Rd,
Lake Zurich, IL 60047-3134

Ph: (229) 415-1203		Mrs Terrah Koppie Gavrilos, APN, CNP
571 N Rand Rd,
Lake Zurich, IL 60047-3134

Ph: (224) 415-2044

Reviews and Comments


Nurse Practitioner Nurses in Lake Zurich, IL

Julie Ann Wubs, RN, ACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 900 W Il Route 22 Ste 100, Lake Zurich, IL 60047
Phone: 847-462-1700    
Ms. Laura L Daniels, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 910 N Rand Rd, Lake Zurich, IL 60047
Phone: 800-323-8622    
Marta Jovic, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 350 Surryse Rd Ste 100, Lake Zurich, IL 60047
Phone: 847-438-2144    
Cheryl Culberson,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 350 Surryse Rd Ste 110, Lake Zurich, IL 60047
Phone: 847-842-7565    
Debra Lynne Dempsey, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1244 Thorndale Ln, Lake Zurich, IL 60047
Phone: 224-489-0298    Fax: 828-471-0227
Ms. Nila Dickman, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 910 North Rand Road, Lake Zurich, IL 60047
Phone: 866-825-3227    Fax: 484-351-3800

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.