Dr Heidi Christine Memmel Mitidiero, MD - Medicare General Surgery in Lake Forest, IL

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Dr Heidi Christine Memmel Mitidiero, MD is a medicare enrolled "Surgery" physician in Lake Forest, Illinois. She went to Northwestern University Feinberg Medical School and graduated in 1999 and has 25 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Northwestern Medical Faculty Foundation and her current practice location is 1000 N Westmoreland Rd, Lake Forest, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 582-2134.

Dr Heidi Christine Memmel Mitidiero is licensed to practice in Illinois (license number 036107710) 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 1184679193.

Contact Information

Dr Heidi Christine Memmel Mitidiero, MD
1000 N Westmoreland Rd,
Lake Forest, IL 60045-1658
(847) 582-2134
(847) 535-7285

Map and Direction




Physician's Profile

Full NameDr Heidi Christine Memmel Mitidiero
GenderFemale
SpecialityGeneral Surgery
Experience25 Years
Location1000 N Westmoreland Rd, Lake Forest, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Heidi Christine Memmel Mitidiero attended and graduated from Northwestern University Feinberg Medical School in 1999
  NPI Data:
  • NPI Number: 1184679193
  • Provider Enumeration Date: 05/24/2006
  • Last Update Date: 08/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7618989112
  • Enrollment ID: I20060628000025

Medical Identifiers

Medical identifiers for Dr Heidi Christine Memmel Mitidiero such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184679193NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 36107710 (Illinois)Secondary
208600000XSurgery 036107710 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwestern Lake Forest HospitalLake forest, ILHospital
Advocate Lutheran General HospitalPark ridge, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwestern Medical Faculty Foundation45875768143352

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 Heidi Christine Memmel Mitidiero allows following entities to bill medicare on her behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064

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 Heidi Christine Memmel Mitidiero 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 Heidi Christine Memmel Mitidiero, MD
1000 N Westmoreland Rd,
Lake Forest, IL 60045-1658

Ph: (847) 582-2134		Dr Heidi Christine Memmel Mitidiero, MD
1000 N Westmoreland Rd,
Lake Forest, IL 60045-1658

Ph: (847) 582-2134

Reviews and Comments


Surgery Doctors in Lake Forest, IL

Mariana Vigiola Cruz,
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 800 N Westmoreland Rd Ste 100, Lake Forest, IL 60045
Phone: 847-535-7208    
James D Frydman, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 800 N Westmoreland Rd, Suite 205, Lake Forest, IL 60045
Phone: 847-234-4310    Fax: 847-234-4336
Dr. Denise Monahan, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 660 N Westmoreland Rd, Suite 100, Lake Forest, IL 60045
Phone: 847-582-6029    
Stephen W Ganshirt, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 800 N Westmoreland Rd, Suite 205, Lake Forest, IL 60045
Phone: 847-234-4310    Fax: 847-234-4336
Dr. Sonya M Sharpless, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 660 N Westmoreland Rd Ste 303, Lake Forest, IL 60045
Phone: 847-735-0067    Fax: 847-735-1398
Dr. Robert A Ryan, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 1127 Forest Hill Rd, Lake Forest, IL 60045
Phone: 847-295-2541    Fax: 847-295-2546

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.