Jessica N Mistretta, DO - Medicare Pediatrics in Peoria, IL

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Jessica N Mistretta, DO is a medicare enrolled "Pediatrics" 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) 655-2000.

Jessica N Mistretta is licensed to practice in Illinois (license number 125.076260) 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 1033731500.

Contact Information

Jessica N Mistretta, DO
530 Ne Glen Oak Ave,
Peoria, IL 61637-2214
(309) 655-2000
Not Available

Map and Direction




Physician's Profile

Full NameJessica N Mistretta
GenderFemale
SpecialityPediatrics
Location530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033731500
  • Provider Enumeration Date: 05/07/2020
  • Last Update Date: 07/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8729408810
  • Enrollment ID: I20230901001198

Medical Identifiers

Medical identifiers for Jessica N Mistretta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033731500NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 125.076260 (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. Jessica N Mistretta allows following entities to bill medicare on her behalf.
Entity NameMichael D. Tarantino, M.d. S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740430784
PECOS PAC ID: 6800950833
Enrollment ID: O20090205000359

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. Jessica N Mistretta 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
Jessica N Mistretta, DO
123 Edgar St,
Lincoln, IL 62656-1514

Ph: (573) 808-3508		Jessica N Mistretta, DO
530 Ne Glen Oak Ave,
Peoria, IL 61637-2214

Ph: (309) 655-2000

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    
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, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-624-0615    

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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