Laurel Kietzman, MD - Medicare Emergency Medicine in Pontiac, IL

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Laurel Kietzman, MD is a medicare enrolled "Emergency Medicine" physician in Pontiac, Illinois. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Methodist Medical Center Of Illinois, Trinity Medical Center, Cepamerica Illinois Llp, Cgh Medical Center and her current practice location is 2500 W Reynolds St, Pontiac, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 842-2828.

Laurel Kietzman is licensed to practice in Illinois (license number 036119129) 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 1336331222.

Contact Information

Laurel Kietzman, MD
2500 W Reynolds St,
Pontiac, IL 61764-9774
(815) 842-2828
Not Available

Map and Direction




Physician's Profile

Full NameLaurel Kietzman
GenderFemale
SpecialityEmergency Medicine
Experience38 Years
Location2500 W Reynolds St, Pontiac, 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:
  • Laurel Kietzman attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1336331222
  • Provider Enumeration Date: 08/14/2007
  • Last Update Date: 07/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7214108273
  • Enrollment ID: I20110922000662

Medical Identifiers

Medical identifiers for Laurel Kietzman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336331222NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036119129 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Presence Mercy Medical CenterAurora, ILHospital
Trinity - Rock IslandRock island, ILHospital
Methodist Medical Center Of IllinoisPeoria, ILHospital
Baptist Medical CenterSan antonio, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Methodist Medical Center Of Illinois1355259714246
Trinity Medical Center226433751887
Cepamerica Illinois Llp3274793633417
Cgh Medical Center6103723267161

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. Laurel Kietzman allows following entities to bill medicare on her behalf.
Entity NameMethodist Medical Center Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982656575
PECOS PAC ID: 1355259714
Enrollment ID: O20031126000494
Entity NameTrinity Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568414134
PECOS PAC ID: 2264337518
Enrollment ID: O20031203000016
Entity NameCgh Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902854623
PECOS PAC ID: 6103723267
Enrollment ID: O20031217000054
Entity NameValley Emergency Care Management Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841395092
PECOS PAC ID: 1850387713
Enrollment ID: O20040424000146
Entity NameCepamerica Illinois Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912283110
PECOS PAC ID: 3274793633
Enrollment ID: O20120322000587
Entity NameMethodist Medical Center Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265966048
PECOS PAC ID: 1355259714
Enrollment ID: O20170828003194

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. Laurel Kietzman 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
Laurel Kietzman, MD
2500 W Reynolds St,
Pontiac, IL 61764-9774

Ph: (815) 842-2828		Laurel Kietzman, MD
2500 W Reynolds St,
Pontiac, IL 61764-9774

Ph: (815) 842-2828

Reviews and Comments


Emergency Medicine Doctors in Pontiac, IL

Richard Ruff, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2500 W Reynolds St, Pontiac, IL 61764
Phone: 708-383-6200    
John Rinker, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1515 W Reynolds St, Pontiac, IL 61764
Phone: 815-842-3381    Fax: 815-842-2861
Kenneth Velez, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1306 N Ann St, Pontiac, IL 61764
Phone: 815-842-3429    
Dr. Vanessa L Pitts, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 W Reynolds St, Pontiac, IL 61764
Phone: 815-842-2828    
Daniel Butterbach, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 W Reynolds St, Pontiac, IL 61764
Phone: 708-783-9100    

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.