Dr Marysue Patricia Koelling, in Peoria, IL - Medicare Audiologist Provider

Dr Marysue Patricia Koelling, is a medicare enrolled "Audiologist" provider in Peoria, Illinois. Her current practice location is 200 E Pennsylvania Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 655-2632.

Dr Marysue Patricia Koelling is licensed to practice in Illinois (license number ) 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 1396436929.

Contact Information

	Dr Marysue Patricia Koelling,
	200 E Pennsylvania Ave, Peoria, IL 61603-3089
	(309) 655-2632
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Marysue Patricia Koelling
Gender	Female
Speciality	Audiologist
Location	200 E Pennsylvania Ave, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396436929
Provider Enumeration Date: 05/16/2023
Last Update Date: 06/10/2024

Medicare PECOS Information:

PECOS PAC ID: 7618335548
Enrollment ID: I20230623002784

Medical Identifiers

Medical identifiers for Dr Marysue Patricia Koelling such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396436929	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	(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. Dr Marysue Patricia Koelling allows following entities to bill medicare on her behalf.

Provider Name	Osf Multi-specialty Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Dr Marysue Patricia Koelling 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
Dr Marysue Patricia Koelling, 200 E Pennsylvania Ave, Peoria, IL 61603-3089 Ph: (309) 624-4000	Dr Marysue Patricia Koelling, 200 E Pennsylvania Ave, Peoria, IL 61603-3089 Ph: (309) 655-2632

Reviews and Comments

Audiologist in Peoria, IL

Dr. Caroline Marie Rayburn, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 200 E Pennsylvania Ave, Peoria, IL 61603 Phone: 309-624-4000
Tina Marie Leman, MS Audiologist Medicare: Medicare Enrolled Practice Location: 7301 N Knoxville Ave, Peoria, IL 61614 Phone: 309-589-5900 Fax: 309-689-0312
Sheila Delk, MS Audiologist Medicare: Not Enrolled in Medicare Practice Location: 7301 N Knoxville Ave, Peoria, IL 61614 Phone: 309-589-5900 Fax: 309-683-4120
Kristina Collins, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2630 Fax: 309-655-2603
Dr. Jacey Gail Hoekstra, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 7301 N Knoxville Ave, Peoria, IL 61614 Phone: 309-589-5900 Fax: 309-589-4631
Mrs. Sharon Ann Benivegna, MA, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 8600 N. State Rt 91, Suite 300, Peoria, IL 61615 Phone: 309-691-6616 Fax: 309-691-2943
Macie Mcdaniel, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 200 E Pennsylvania Ave, Peoria, IL 61603 Phone: 309-624-4000

Dr Marysue Patricia Koelling, - Medicare Audiologist in Peoria, IL