Dr Amy Kim Yetasook, MD - Medicare Surgery in Urbana, IL

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Dr Amy Kim Yetasook, MD is a medicare enrolled "Surgery" physician in Urbana, Illinois. Her current practice location is 611 W Park St, Graduate Medical Education Department, Urbana, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 326-1293.

Dr Amy Kim Yetasook is licensed to practice in Illinois (license number 125063845) 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 1982028130.

Contact Information

Dr Amy Kim Yetasook, MD
611 W Park St, Graduate Medical Education Department,
Urbana, IL 61801-2500
(217) 326-1293
Not Available

Map and Direction




Physician's Profile

Full NameDr Amy Kim Yetasook
GenderFemale
SpecialitySurgery
Location611 W Park St, Urbana, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982028130
  • Provider Enumeration Date: 02/07/2014
  • Last Update Date: 02/07/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2769786938
  • Enrollment ID: I20181015003165

Medical Identifiers

Medical identifiers for Dr Amy Kim Yetasook such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982028130NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 125063845 (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 Amy Kim Yetasook allows following entities to bill medicare on her behalf.
Entity NameCounty Of Los Angeles
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1780877613
PECOS PAC ID: 1850296534
Enrollment ID: O20090713000358
Entity NameCommunity Foundation Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811258510
PECOS PAC ID: 0345406294
Enrollment ID: O20120723000387
Entity NameAmy Yetasook Md Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003512559
PECOS PAC ID: 2264895689
Enrollment ID: O20230831002523

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 Amy Kim Yetasook 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 Amy Kim Yetasook, MD
2114 W Division St, #3,
Chicago, IL 60622-3035

Ph: (213) 268-5421		Dr Amy Kim Yetasook, MD
611 W Park St, Graduate Medical Education Department,
Urbana, IL 61801-2500

Ph: (217) 326-1293

Reviews and Comments


Surgery Doctors in Urbana, IL

Mahmoud Elrakhawy, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-904-7000    
Conlan Joseph Pierce, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 601 W Park St, Urbana, IL 61801
Phone: 540-326-2910    
Brian Robert Beeman, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 611 W Park St, Hvi, Urbana, IL 61801
Phone: 217-904-7000    Fax: 217-904-7748
Christian A Perez, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 611 W Park St, General Surgery, Urbana, IL 61801
Phone: 217-383-3240    Fax: 217-383-4597
Yongsoo Kwon,
Surgery
Medicare: May Accept Medicare Assignments
Practice Location: 1800 Glenwood Oaks Ct, Urbana, IL 61801
Phone: 217-337-5299    
Anant Singh Amar, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3311    
Richard B Berlin, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 602 W. University Avenue, General Surgery, Urbana, IL 61801
Phone: 217-383-3240    Fax: 217-383-4597

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.