Dr Amanda Dawn Ellis-pelletier, DO - Medicare Pediatrics in Park Ridge, IL

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Dr Amanda Dawn Ellis-pelletier, DO is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Park Ridge, Illinois. Her current practice location is 1675 W Dempster St, Park Ridge, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 723-5313.

Dr Amanda Dawn Ellis-pelletier is licensed to practice in Illinois (license number 036-120880) 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 1639325129.

Contact Information

Dr Amanda Dawn Ellis-pelletier, DO
1675 W Dempster St,
Park Ridge, IL 60068-1110
(847) 723-5313
(847) 723-2325

Map and Direction




Physician's Profile

Full NameDr Amanda Dawn Ellis-pelletier
GenderFemale
SpecialityPediatrics - Pediatric Critical Care Medicine
Location1675 W Dempster St, Park Ridge, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639325129
  • Provider Enumeration Date: 08/15/2008
  • Last Update Date: 06/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5991862641
  • Enrollment ID: I20090324000395

Medical Identifiers

Medical identifiers for Dr Amanda Dawn Ellis-pelletier such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639325129NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0203XPediatrics - Pediatric Critical Care Medicine 036-120880 (Illinois)Primary
208000000XPediatrics 036120880 (Illinois)Secondary

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 Amanda Dawn Ellis-pelletier allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Chicago
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821048786
PECOS PAC ID: 7719899426
Enrollment ID: O20031103000094
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameCook County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588612832
PECOS PAC ID: 2860398088
Enrollment ID: O20031209000747
Entity NameRush University Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871560961
PECOS PAC ID: 5496744005
Enrollment ID: O20040510000386

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 Amanda Dawn Ellis-pelletier 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 AddressPractice Location Address
Dr Amanda Dawn Ellis-pelletier, DO
29373 Network Pl,
Chicago, IL 60673-1425

Ph: (847) 390-5900		Dr Amanda Dawn Ellis-pelletier, DO
1675 W Dempster St,
Park Ridge, IL 60068-1110

Ph: (847) 723-5313

Reviews and Comments


Pediatrics Doctors in Park Ridge, IL

Dr. Nour Akhras, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1675 Dempster St, Park Ridge, IL 60068
Phone: 847-318-9300    Fax: 847-723-9583
Dr. Jurat Singh Rajpal, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1675 Dempster St, Second Floor, Park Ridge, IL 60068
Phone: 847-318-9330    
Dr. Peyton Cleary, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1775 Dempster St, Park Ridge, IL 60068
Phone: 847-318-9300    Fax: 847-723-5983
Dr. Christopher M Jamerson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1675 Dempster St, Yacktman Pavilion, Park Ridge, IL 60068
Phone: 847-723-9557    
Susan Michele Unfer, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1675 Dempster St, Park Ridge, IL 60068
Phone: 847-318-9300    Fax: 847-723-9566
Dr. William Richard Goodell, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1675 Dempster St, 2nd Floor, Park Ridge, IL 60068
Phone: 847-723-9400    Fax: 847-723-8523
Dr. Duane David Stich, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1775 Dempster St, Dept. Of Neonatology 2 South, Park Ridge, IL 60068
Phone: 847-723-5313    Fax: 847-723-2338

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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