Judith Mongoum Pene, FNP - Medicare Nurse Practitioner in Crystal Lake, IL

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Judith Mongoum Pene, FNP is a medicare enrolled "Nurse Practitioner - Family" in Crystal Lake, Illinois. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Diagnostic Of Illinois Pllc and her current practice location is 1305 Randall Rd, Crystal Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 386-0386.

Judith Mongoum Pene is licensed to practice in Illinois (license number 209.020328) 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 1134767759.

Contact Information

Judith Mongoum Pene, FNP
1305 Randall Rd,
Crystal Lake, IL 60014-8601
(815) 386-0386
Not Available

Map and Direction




Provider's Profile

Full NameJudith Mongoum Pene
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location1305 Randall Rd, Crystal Lake, 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:
  • Judith Mongoum Pene graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1134767759
  • Provider Enumeration Date: 12/13/2019
  • Last Update Date: 05/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0547695736
  • Enrollment ID: I20200116000626

Medical Identifiers

Medical identifiers for Judith Mongoum Pene such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134767759NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.020328 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minuteclinic Diagnostic Of Illinois Pllc8729171566107

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. Judith Mongoum Pene allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Diagnostic Of Illinois Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356485809
PECOS PAC ID: 8729171566
Enrollment ID: O20070910000607
Entity NameChicago Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285972505
PECOS PAC ID: 2961640222
Enrollment ID: O20130528000058
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190507001451
Entity NameMinuteclinic Video Virtual Care North Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518512227
PECOS PAC ID: 1254762297
Enrollment ID: O20200620000026
Entity NameMinuteclinic Primary Care Illinois Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528875564
PECOS PAC ID: 7416471842
Enrollment ID: O20250408000253

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. Judith Mongoum Pene 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
Judith Mongoum Pene, FNP
1305 Randall Rd,
Crystal Lake, IL 60014-8601

Ph: (815) 356-0386		Judith Mongoum Pene, FNP
1305 Randall Rd,
Crystal Lake, IL 60014-8601

Ph: (815) 386-0386

Reviews and Comments


Nurse Practitioner Nurses in Crystal Lake, IL

Sandra Jaeschke, CNP
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Phone: 815-338-6600    Fax: 815-455-8044
Mrs. Jenna T Winsko, ANP-BC
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Katherine A Galias, APRN
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Medicare: Accepting Medicare Assignments
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Angelica Soto, MSN,APRN,PMHNP-C
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Practice Location: 145 S Virginia St, Crystal Lake, IL 60014
Phone: 815-444-9999    
Ashley Wallen, APN
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Phone: 866-825-3227    
Sheila Roxanne Soriano Reyes, PMHNP
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Practice Location: 500 Coventry Ln Ste 290, Crystal Lake, IL 60014
Phone: 708-434-4090    

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.