Raven King, is a medicare enrolled "Nurse Practitioner - Family" in Park Forest, Illinois. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Midwest Post Acute Care Pllc, Curana Health Of Arizona and her current practice location is
402 Tamarack St, Park Forest, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 600-3037.
Raven King is licensed to practice in Arizona (license number 325541) 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 1134933054.
Provider's Profile
| Full Name | Raven King |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 402 Tamarack St, Park Forest, 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:
- Raven King graduated from nursing school in 2025
NPI Data:
- NPI Number: 1134933054
- Provider Enumeration Date: 02/03/2025
- Last Update Date: 02/04/2026
Medicare PECOS Information:
- PECOS PAC ID: 2365926128
- Enrollment ID: I20260319001291
Medical Identifiers
Medical identifiers for Raven King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134933054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 325541 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Midwest Post Acute Care Pllc | 0143547117 | 125 |
| Curana Health Of Arizona | 5496125569 | 38 |
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. Raven King allows following entities to bill medicare on her behalf.
| Entity Name | Midwest Post Acute Care PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083012074
PECOS PAC ID: 0143547117
Enrollment ID: O20150401000634 |
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| Entity Name | Midwest Post Acute Care Aco PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457926537
PECOS PAC ID: 2961804976
Enrollment ID: O20240722000627 |
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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. Raven King 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 |
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Raven King,
402 Tamarack St,
Park Forest, IL 60466-4108
Ph: Not Available | Raven King,
402 Tamarack St,
Park Forest, IL 60466-4108
Ph: (708) 600-3037 |
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