Mrs Mary Caitlin Gondek, APN - Medicare Nurse Practitioner in Chicago, IL

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Mrs Mary Caitlin Gondek, APN is a medicare enrolled "Nurse Practitioner - Family" in Chicago, Illinois. Her current practice location is 4259 S Berkeley Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 268-7600.

Mrs Mary Caitlin Gondek is licensed to practice in Illinois (license number 209010515) 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 1447691977.

Contact Information

Mrs Mary Caitlin Gondek, APN
4259 S Berkeley Ave,
Chicago, IL 60653-3030
(773) 268-7600
Not Available

Map and Direction




Provider's Profile

Full NameMrs Mary Caitlin Gondek
GenderFemale
SpecialityNurse Practitioner - Family
Location4259 S Berkeley 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: 1447691977
  • Provider Enumeration Date: 07/12/2013
  • Last Update Date: 04/13/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4880820554
  • Enrollment ID: I20131202001825

Medical Identifiers

Medical identifiers for Mrs Mary Caitlin Gondek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447691977NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209010515 (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. Mrs Mary Caitlin Gondek allows following entities to bill medicare on her behalf.
Entity NameLurie Children's Medical Group Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518064716
PECOS PAC ID: 4789597279
Enrollment ID: O20031111000157
Entity NameLurie Childrens Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992758544
PECOS PAC ID: 0143127761
Enrollment ID: O20031212000692
Entity NameLurie Childrens Surgical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356822050
PECOS PAC ID: 5890020770
Enrollment ID: O20190715002591

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. Mrs Mary Caitlin Gondek 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
Mrs Mary Caitlin Gondek, APN
4259 S Berkeley Ave,
Chicago, IL 60653-3030

Ph: (773) 268-7600		Mrs Mary Caitlin Gondek, APN
4259 S Berkeley Ave,
Chicago, IL 60653-3030

Ph: (773) 268-7600

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).

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