| Patricia A Raetz, BSN/MSN/APN | |
|
259 E Erie St, Chicago, IL 60611 | |
| (312) 695-8143 | |
| (312) 695-4430 |
| Full Name | Patricia A Raetz |
|---|---|
| Gender | Female |
| Speciality | Certified Clinical Nurse Specialist (cns) |
| Experience | 31 Years |
| Location | 259 E Erie St, Chicago, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760495410 | NPI | - | NPPES |
| 0222075 | Other | IL | BLUE CROSS GROUP NUMBER |
| 36-3149833 | Other | IL | TAX IDENTIFICATION NUMBER |
| P00686148 | Other | IL | MEDICARE RAILROAD |
| 3631498336019001 | Other | IL | CDPG HFS PAYEE ID |
| CA4748 | Other | IL | MEDICARE RR GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SN0800X | Clinical Nurse Specialist - Neuroscience | 209001060 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Memorial Hospital | Chicago, IL | Hospital |
| Palos Community Hospital | Palos heights, IL | Hospital |
| Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia A Raetz, BSN/MSN/APN 25 Winfield Road, Winfield, IL 60190 Ph: (630) 614-4066 | Patricia A Raetz, BSN/MSN/APN 259 E Erie St, Chicago, IL 60611 Ph: (312) 695-8143 |
Heather A Keldahl, CRNA Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 836 W Wellington Ave, Chicago, IL 60657 Phone: 773-795-1600 | |
Nancy Therese Scott, DNP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 5841 S Maryland Avenue, University Of Chicago Medicine, Chicago, IL 60637 Phone: 773-926-9147 Fax: 773-702-8690 | |
Erin Dowding, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 708-280-6622 | |
Gabriel Campos, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1927 Fax: 773-702-2837 | |
Kathleen Posa-kearney, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-947-1131 | |
Maria Barnes, C.N.S. Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000 | |
Dr. Katherine Massura Schafer, DNP, APRN, RN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 600 S Paulina St, Suite 1080, Chicago, IL 60612 Phone: 312-942-9715 Fax: 312-942-6226 |