Mariola Kaczkowski, in Park Ridge, IL - Medicare Nurse Practitioner

Mariola Kaczkowski, is a medicare enrolled "Nurse Practitioner" in Park Ridge, Illinois. She graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Endeavor Health Medical Group, Kirill Zhadovich, M.d., S.c. and her current practice location is 1875 Dempster St, Suite 180, Park Ridge, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 825-0800.

Mariola Kaczkowski is licensed to practice in Illinois (license number 209008582) 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 1861796724.

Contact Information

	Mariola Kaczkowski,
	1875 Dempster St, Suite 180, Park Ridge, IL 60068-1186
	(847) 825-0800
	Not Available

Map and Direction

Provider's Profile

Full Name	Mariola Kaczkowski
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	1875 Dempster St, Park Ridge, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mariola Kaczkowski graduated from nursing school in 2010

NPI Data:

NPI Number: 1861796724
Provider Enumeration Date: 01/06/2011
Last Update Date: 01/06/2011

Medicare PECOS Information:

PECOS PAC ID: 3779765243
Enrollment ID: I20110305000041

Medical Identifiers

Medical identifiers for Mariola Kaczkowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861796724	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209008582 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northshore University Healthsystem - Evanston Hospital	Evanston, IL	Hospital
Swedish Covenant Hospital	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Endeavor Health Medical Group	2163334699	3022
Kirill Zhadovich, M.d., S.c.	3072545896	5

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. Mariola Kaczkowski allows following entities to bill medicare on her behalf.

Entity Name	Endeavor Health Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

Entity Name	Kirill Zhadovich, M.d., S.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659556546 PECOS PAC ID: 3072545896 Enrollment ID: O20050901000141

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. Mariola Kaczkowski 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
Mariola Kaczkowski, Po Box 2056, Northbrook, IL 60065-2056 Ph: () -	Mariola Kaczkowski, 1875 Dempster St, Suite 180, Park Ridge, IL 60068-1186 Ph: (847) 825-0800

Reviews and Comments

Nurse Practitioner Nurses in Park Ridge, IL

Michal Ora Mendelsberg, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 Devon Ave, Park Ridge, IL 60068 Phone: 800-323-8622 Fax: 224-225-0374
Amy Miner, APN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1875 Dempster St, Park Ridge, IL 60068 Phone: 844-725-5238 Fax: 847-723-2791
Oluwatosin Olayeye, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 773-895-5075
Marlene Varnavas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Dempster St Ste 120, Park Ridge, IL 60068 Phone: 847-299-7888
Mrs. Gina Marie Palm, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1675 Dempster St Fl 1, Park Ridge, IL 60068 Phone: 847-318-9300 Fax: 847-723-9583
Cynthia Kane, MS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1875 Dempster St Ste 180, Park Ridge, IL 60068 Phone: 844-725-5238 Fax: 847-723-2791
Mrs. Ellen Tyesha Arnold, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 Devon Ave, Park Ridge, IL 60068 Phone: 800-323-8622

Mariola Kaczkowski, - Medicare Nurse Practitioner in Park Ridge, IL