Keema Petria Boland-bryant, CRNP - Medicare Nurse Practitioner in Oak Lawn, IL

  1. Home
  2. Nurse Practitioner
  3. IL
  4. Oak Lawn
Keema Petria Boland-bryant, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Oak Lawn, Illinois. Her current practice location is 4400 W 95th St Ste 310, Oak Lawn, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 684-9230.

Keema Petria Boland-bryant is licensed to practice in Illinois (license number 209-027481) 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 1619557832.

Contact Information

Keema Petria Boland-bryant, CRNP
4400 W 95th St Ste 310,
Oak Lawn, IL 60453-2660
(708) 684-9230
(708) 684-9231

Map and Direction




Provider's Profile

Full NameKeema Petria Boland-bryant
GenderFemale
SpecialityNurse Practitioner - Family
Location4400 W 95th St Ste 310, Oak Lawn, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619557832
  • Provider Enumeration Date: 04/12/2021
  • Last Update Date: 12/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5395154280
  • Enrollment ID: I20210505001673

Medical Identifiers

Medical identifiers for Keema Petria Boland-bryant such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619557832NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209-027481 (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. Keema Petria Boland-bryant allows following entities to bill medicare on her behalf.
Entity NameWhatley Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063422756
PECOS PAC ID: 8224921705
Enrollment ID: O20040206000846

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. Keema Petria Boland-bryant 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
Keema Petria Boland-bryant, CRNP
29373 Network Pl,
Chicago, IL 60673-4663

Ph: (847) 390-5900		Keema Petria Boland-bryant, CRNP
4400 W 95th St Ste 310,
Oak Lawn, IL 60453-2660

Ph: (708) 684-9230

Reviews and Comments


Nurse Practitioner Nurses in Oak Lawn, IL

Danielle Robinson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4400 W 95th St Ste 310, Oak Lawn, IL 60453
Phone: 708-684-9230    Fax: 708-684-9231
Amy Simone, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4400 W 95th St Ste 404, Oak Lawn, IL 60453
Phone: 800-323-8622    
Andrea Christina Hammond, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-684-5354    
Molly Ann Best, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-684-5437    Fax: 708-684-4808
Mr. Kevin Vermeer, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4061 W 95th St, Oak Lawn, IL 60453
Phone: 630-790-1872    Fax: 708-229-0090
Diana Polkowska, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-612-6133    
Gloria Mudryj, MSN, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-684-2153    

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.