Ms Kathryn Ilissa Ross, PA-C is a medicare enrolled "Physician Assistant" provider in Chicago, Illinois. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Clarity Clinic Llc and her current practice location is
259 E Erie St Ste 1600, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(312) 695-5620.
Ms Kathryn Ilissa Ross is licensed to practice in Illinois (license number ) 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 1124434014.
Healthcare Provider's Profile
| Full Name | Ms Kathryn Ilissa Ross |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 259 E Erie St Ste 1600, Chicago, 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:
- Ms Kathryn Ilissa Ross graduated from medical school in 2018
NPI Data:
- NPI Number: 1124434014
- Provider Enumeration Date: 07/11/2014
- Last Update Date: 07/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 5799010864
- Enrollment ID: I20190711001074
Medical Identifiers
Medical identifiers for Ms Kathryn Ilissa Ross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124434014 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | DN004758 (Pennsylvania) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 085006742 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Clarity Clinic Llc | 7517284755 | 82 |
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. Ms Kathryn Ilissa Ross 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 |
|---|
Ms Kathryn Ilissa Ross, PA-C
259 E Erie St Ste 1600,
Chicago, IL 60611-3111
Ph: (312) 695-5620 | Ms Kathryn Ilissa Ross, PA-C
259 E Erie St Ste 1600,
Chicago, IL 60611-3111
Ph: (312) 695-5620 |
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