Mary Komperda, APN - Medicare Nurse Practitioner in Melrose Park, IL

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Mary Komperda, APN is a medicare enrolled "Nurse Practitioner - Adult Health" in Melrose Park, Illinois. Her current practice location is 675 W North Ave, Ste-210, Melrose Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 450-5094.

Mary Komperda is licensed to practice in Illinois (license number 209-004003) 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 1881640902.

Contact Information

Mary Komperda, APN
675 W North Ave, Ste-210,
Melrose Park, IL 60160-1634
(708) 450-5094
(708) 344-0508

Map and Direction




Provider's Profile

Full NameMary Komperda
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location675 W North Ave, Melrose Park, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881640902
  • Provider Enumeration Date: 05/26/2006
  • Last Update Date: 08/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7810923737
  • Enrollment ID: I20050712001091

Medical Identifiers

Medical identifiers for Mary Komperda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881640902NPI-NPPES
209712OtherILMEDICARE GROUP NUMBER
31602469OtherILBLUE CROSS BLUE SHIELD GROUP PROVIDER NUMBER
P00236752OtherILRAILROAD MEDICARE INDIVIDUAL PROVIDER ID
1164530713OtherILCONSULTANTS IN CARDIOVASCULAR MEDICINE, S.C. GROUP NPI NUMBER
961280OtherILMEDICARE GROUP NUMBER
CC1592OtherILRAILROAD MEDICARE GROUP PTAN NUMBER
K18549OtherILMEDICARE INDIVIDUAL PTAN NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 209-004003 (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. Mary Komperda allows following entities to bill medicare on her behalf.
Entity NameCommunity Care Health Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619368842
PECOS PAC ID: 8527324151
Enrollment ID: O20210414000501

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. Mary Komperda 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
Mary Komperda, APN
675 W North Ave, Suite 210,
Melrose Park, IL 60160-1634

Ph: (708) 450-5094		Mary Komperda, APN
675 W North Ave, Ste-210,
Melrose Park, IL 60160-1634

Ph: (708) 450-5094

Reviews and Comments


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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.