Kathleen Frances Wallach, APN is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Oak Lawn, Illinois. Her current practice location is
4440 W 95th St, Oak Lawn, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 684-5580.
Kathleen Frances Wallach is licensed to practice in Illinois (license number 277.000970) 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 1609212257.
Physician's Profile
| Full Name | Kathleen Frances Wallach |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 4440 W 95th St, Oak Lawn, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1609212257
- Provider Enumeration Date: 05/21/2013
- Last Update Date: 02/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254781412
- Enrollment ID: I20231229001947
Medical Identifiers
Medical identifiers for Kathleen Frances Wallach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609212257 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 1982958013 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 277.000970 (Illinois) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 277.000970 (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. Kathleen Frances Wallach allows following entities to bill medicare on her behalf.
| Entity Name | Advocate Health And Hospitals Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064 |
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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. Kathleen Frances Wallach 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 |
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Kathleen Frances Wallach, APN
29373 Network Pl,
Chicago, IL 60673-1293
Ph: (847) 390-5900 | Kathleen Frances Wallach, APN
4440 W 95th St,
Oak Lawn, IL 60453-2600
Ph: (708) 684-5580 |
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