Pauline Dejesus, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Carol Stream, Illinois. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice The Board Of Trustees Of The University Of Illinois and her current practice location is
727 Daybreak Ln, Carol Stream, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 400-5220.
Pauline Dejesus is licensed to practice in Illinois (license number 209027999) 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 1023787363.
Provider's Profile
| Full Name | Pauline Dejesus |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 10 Years |
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| Location | 727 Daybreak Ln, Carol Stream, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Pauline Dejesus graduated from nursing school in 2016
NPI Data:
- NPI Number: 1023787363
- Provider Enumeration Date: 09/09/2021
- Last Update Date: 04/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204287212
- Enrollment ID: I20240103004252
Medical Identifiers
Medical identifiers for Pauline Dejesus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023787363 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 041445495 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209027999 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Board Of Trustees Of The University Of Illinois | 3072422716 | 1058 |
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. Pauline Dejesus allows following entities to bill medicare on her behalf.
| Entity Name | The Board Of Trustees Of The University Of Illinois |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158 |
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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. Pauline Dejesus 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 |
|---|
Pauline Dejesus, RN
727 Daybreak Ln,
Carol Stream, IL 60188-3614
Ph: (630) 400-5220 | Pauline Dejesus, RN
727 Daybreak Ln,
Carol Stream, IL 60188-3614
Ph: (630) 400-5220 |
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