Mary Kathryn Peterson, DO - Medicare Family Practice in Park Ridge, IL

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Mary Kathryn Peterson, DO is a medicare enrolled "Family Medicine" physician in Park Ridge, Illinois. She went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Presence Healthcare Services and her current practice location is 205 S Northwest Hwy Ste 130, Park Ridge, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 292-5200.

Mary Kathryn Peterson is licensed to practice in Illinois (license number 036121820) 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 1356508675.

Contact Information

Mary Kathryn Peterson, DO
205 S Northwest Hwy Ste 130,
Park Ridge, IL 60068-5802
(847) 292-5200
Not Available

Map and Direction




Physician's Profile

Full NameMary Kathryn Peterson
GenderFemale
SpecialityFamily Practice
Experience18 Years
Location205 S Northwest Hwy Ste 130, Park Ridge, 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:
  • Mary Kathryn Peterson attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2006
  NPI Data:
  • NPI Number: 1356508675
  • Provider Enumeration Date: 05/22/2008
  • Last Update Date: 10/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5799830626
  • Enrollment ID: I20090828000428

Medical Identifiers

Medical identifiers for Mary Kathryn Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356508675NPI-NPPES
036121820MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036121820 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Astra HealthHarwood heights, ILHome health agency
Amita Health Resurrection Medical CenterChicago, ILHospital
Advocate Lutheran General HospitalPark ridge, ILHospital
Presence Saint Francis HospitalEvanston, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Presence Healthcare Services2860396769317

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. Mary Kathryn Peterson allows following entities to bill medicare on her behalf.
Entity NamePresence Healthcare Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932216819
PECOS PAC ID: 2860396769
Enrollment ID: O20050215000965

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. Mary Kathryn Peterson 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
Mary Kathryn Peterson, DO
205 S Northwest Hwy Ste 130,
Park Ridge, IL 60068-5802

Ph: (847) 292-5200		Mary Kathryn Peterson, DO
205 S Northwest Hwy Ste 130,
Park Ridge, IL 60068-5802

Ph: (847) 292-5200

Reviews and Comments


Family Medicine Doctors in Park Ridge, IL

Dr. John Charles Evans, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 112 S Northwest Hwy, Park Ridge, IL 60068
Phone: 847-696-3370    Fax: 847-696-9445
Dr. Dimitrina Vizinas, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1440 Renaissance Dr Ste 300, Park Ridge, IL 60068
Phone: 847-254-9714    Fax: 847-803-1806
Dr. Agnieszka Kania, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1875 Dempster St, 506, Park Ridge, IL 60068
Phone: 847-593-6600    
Dr. Maureen E Grosdidier, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 850 Busse Hwy, Park Ridge, IL 60068
Phone: 847-825-0300    Fax: 847-825-1825
Stuart Lewis Goldman, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1775 Ballard Rd, Park Ridge, IL 60068
Phone: 847-318-6020    Fax: 847-318-2712
Dr. Dorina Feher, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1775 Ballard, Nesset Family Medicine Center, Park Ridge, IL 60068
Phone: 847-318-6020    
Dr. Anthony T Mccormack, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1875 Dempster St Ste 520, Park Ridge, IL 60068
Phone: 847-720-6464    Fax: 847-720-6463

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.