Liauw Devi Gunawan, NURSE PRACTITIONER - Medicare Nurse Practitioner in Chicago, IL

  1. Home
  2. Nurse Practitioner
  3. IL
  4. Chicago
Liauw Devi Gunawan, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Chicago, Illinois. Her current practice location is 3412 W Fullerton Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 235-8000.

Liauw Devi Gunawan is licensed to practice in Illinois (license number 209.017128) 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 1992289599.

Contact Information

Liauw Devi Gunawan, NURSE PRACTITIONER
3412 W Fullerton Ave,
Chicago, IL 60647-2416
(773) 235-8000
Not Available

Map and Direction




Provider's Profile

Full NameLiauw Devi Gunawan
GenderFemale
SpecialityNurse Practitioner - Family
Location3412 W Fullerton Ave, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992289599
  • Provider Enumeration Date: 09/19/2018
  • Last Update Date: 09/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8325575707
  • Enrollment ID: I20241224001145

Medical Identifiers

Medical identifiers for Liauw Devi Gunawan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992289599NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.017128 (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. Liauw Devi Gunawan allows following entities to bill medicare on her behalf.
Entity NameAmerican Womens Professional Group Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104096031
PECOS PAC ID: 5193250801
Enrollment ID: O20241118003744

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. Liauw Devi Gunawan 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
Liauw Devi Gunawan, NURSE PRACTITIONER
8436 Drake Ave,
Skokie, IL 60076-2800

Ph: (847) 329-0279		Liauw Devi Gunawan, NURSE PRACTITIONER
3412 W Fullerton Ave,
Chicago, IL 60647-2416

Ph: (773) 235-8000

Reviews and Comments


Nurse Practitioner Nurses in Chicago, IL

Mr. Gerald M. Bedore, APN/CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 835 S Wolcott Ave Rm E-144, Chicago, IL 60612
Phone: 312-996-7420    Fax: 312-413-8485
Stacy Ervin, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 401 N Michigan Ave, Chicago, IL 60611
Phone: 866-825-3227    
Katherine Cappitelli, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 676 N Saint Clair St Ste 2125, Chicago, IL 60611
Phone: 312-472-4218    
Mindy Unrau, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2045 W. Grand Ave Ste. B, Pmb 89496, Chicago, IL 60612
Phone: 708-630-1534    
Juliet Ibanez Panambo Kantoff, AGPCNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 401 N Michigan Ave Ste 1200, Chicago, IL 60611
Phone: 312-635-0973    
Catherine L Chung, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2142 S Archer Ave, Chicago, IL 60616
Phone: 312-326-1408    
Tricia Muir, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 850 W Irving Park Rd, Chicago, IL 60613
Phone: 773-525-6780    

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.