Dr Ryan Bernard Mitacek, MD - Medicare Pediatrics in Chicago, IL

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Dr Ryan Bernard Mitacek, MD is a medicare enrolled "Pediatrics - Pediatric Rheumatology" physician in Chicago, Illinois. His current practice location is 5841 S Maryland Ave # Mc5044, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 702-1000.

Dr Ryan Bernard Mitacek is licensed to practice in Illinois (license number 036.155959) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639674211.

Contact Information

Dr Ryan Bernard Mitacek, MD
5841 S Maryland Ave # Mc5044,
Chicago, IL 60637-1443
(773) 702-1000
Not Available

Map and Direction




Physician's Profile

Full NameDr Ryan Bernard Mitacek
GenderMale
SpecialityPediatrics - Pediatric Rheumatology
Location5841 S Maryland Ave # Mc5044, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639674211
  • Provider Enumeration Date: 03/27/2018
  • Last Update Date: 04/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2365793940
  • Enrollment ID: I20220415001171

Medical Identifiers

Medical identifiers for Dr Ryan Bernard Mitacek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639674211NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 4301511663 (Michigan)Secondary
2080P0216XPediatrics - Pediatric Rheumatology 036.155959 (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 Ryan Bernard Mitacek allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Chicago
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821048786
PECOS PAC ID: 7719899426
Enrollment ID: O20031103000094
Entity NameThe University Of Chicago Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033218128
PECOS PAC ID: 7618880766
Enrollment ID: O20031106000203

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 Ryan Bernard Mitacek 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 Ryan Bernard Mitacek, MD
180 Harvester Dr Ste 110,
Burr Ridge, IL 60527-4503

Ph: (773) 702-1150		Dr Ryan Bernard Mitacek, MD
5841 S Maryland Ave # Mc5044,
Chicago, IL 60637-1443

Ph: (773) 702-1000

Reviews and Comments


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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.

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