Mr Paolo Petilla Mercado, APN in Waukegan, IL

Mr Paolo Petilla Mercado, APN is a medicare enrolled "Nurse Practitioner - Family" in Waukegan, Illinois. He graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Waukegan Clinic Corp, Vituity-wisconsin Hm Sc and his current practice location is 1324 N Sheridan Rd, Waukegan, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 360-2860.

Mr Paolo Petilla Mercado is licensed to practice in Illinois (license number 209018353) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447728183.

Contact Information

	Mr Paolo Petilla Mercado, APN
	1324 N Sheridan Rd, Waukegan, IL 60085-2161
	(847) 360-2860
	(847) 625-6057

Map and Direction

Provider's Profile

Full Name	Mr Paolo Petilla Mercado
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	1324 N Sheridan Rd, Waukegan, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Paolo Petilla Mercado graduated from nursing school in 2018

NPI Data:

NPI Number: 1447728183
Provider Enumeration Date: 11/12/2018
Last Update Date: 06/28/2023

Medicare PECOS Information:

PECOS PAC ID: 5496094914
Enrollment ID: I20190228000448

Medical Identifiers

Medical identifiers for Mr Paolo Petilla Mercado such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447728183	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209018353 (Illinois)	Primary
363L00000X	Nurse Practitioner	13217-33 (Wisconsin)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
United Hospital System	Kenosha, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Waukegan Clinic Corp	4284631086	58
Vituity-wisconsin Hm Sc	4880056126	24

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. Mr Paolo Petilla Mercado allows following entities to bill medicare on his behalf.

Entity Name	Waukegan Clinic Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306937289 PECOS PAC ID: 4284631086 Enrollment ID: O20061108000240

Entity Name	App Of Illinois Hm Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861941809 PECOS PAC ID: 0244518652 Enrollment ID: O20161104000982

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. Mr Paolo Petilla Mercado 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
Mr Paolo Petilla Mercado, APN 3076 Nicklaus Ln, Wadsworth, IL 60083-8944 Ph: (224) 388-1215	Mr Paolo Petilla Mercado, APN 1324 N Sheridan Rd, Waukegan, IL 60085-2161 Ph: (847) 360-2860

Reviews and Comments

Nurse Practitioner Nurses in Waukegan, IL

Wendy Jahayra Miralda, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8296
Mercedes Rebeca Jasso, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Belvidere Rd, Waukegan, IL 60085 Phone: 847-377-8800
Brandon Barrios, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8800
Ms. Amy Ruth Morton-miller, PHD, RN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8808
Rochelle A Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3210 Grand Ave, Waukegan, IL 60085 Phone: 847-440-7339
Mankaa Vifansi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave Fl 1, Waukegan, IL 60085 Phone: 847-377-8950 Fax: 847-984-5602
Samantha Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1324 N Sheridan Rd, Waukegan, IL 60085 Phone: 847-360-3000

Mr Paolo Petilla Mercado, APN - Medicare Nurse Practitioner in Waukegan, IL