Dr Gretchen L Kopec, MD in Peoria, IL

Dr Gretchen L Kopec, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Peoria, Illinois. Her current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 624-0615.

Dr Gretchen L Kopec is licensed to practice in Illinois (license number 036.148113) 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 1063856342.

Contact Information

	Dr Gretchen L Kopec, MD
	530 Ne Glen Oak Ave, Peoria, IL 61637-1003
	(309) 624-0615
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Gretchen L Kopec
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	530 Ne Glen Oak 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: 1063856342
Provider Enumeration Date: 04/17/2013
Last Update Date: 02/03/2022

Medicare PECOS Information:

PECOS PAC ID: 2961704390
Enrollment ID: I20190909001644

Medical Identifiers

Medical identifiers for Dr Gretchen L Kopec such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063856342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	036.148113 (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 Gretchen L Kopec allows following entities to bill medicare on her behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158

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 Gretchen L Kopec 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 Gretchen L Kopec, MD 3113 Falcon Pt, Springfield, IL 62711-7865 Ph: (217) 553-7424	Dr Gretchen L Kopec, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-1003 Ph: (309) 624-0615

Reviews and Comments

Pediatrics Doctors in Peoria, IL

Thomas James Mcmorrow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2553 Fax: 309-655-2602
Jessica Ford-davis, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2274
Kelsey Elizabeth Grimes, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Jessica N Mistretta, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Mrs. Valeria Claudia Benavides Lopez, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-3313
Khalid Al Katranji, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7171

Dr Gretchen L Kopec, MD - Medicare Pediatrics in Peoria, IL