Mary Louise Kelly, DO - Medicare Family Medicine in Oak Park, IL

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Mary Louise Kelly, DO is a medicare enrolled "Family Medicine" physician in Oak Park, Illinois. Her current practice location is 1125 Westgate St, Oak Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 848-0040.

Mary Louise Kelly is licensed to practice in Illinois (license number 036077560) 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 1912087560.

Contact Information

Mary Louise Kelly, DO
1125 Westgate St,
Oak Park, IL 60301-1007
(708) 848-0040
(708) 848-2931

Map and Direction




Physician's Profile

Full NameMary Louise Kelly
GenderFemale
SpecialityFamily Medicine
Location1125 Westgate St, Oak Park, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912087560
  • Provider Enumeration Date: 10/17/2006
  • Last Update Date: 12/18/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1254520612
  • Enrollment ID: I20110117000028

Medical Identifiers

Medical identifiers for Mary Louise Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912087560NPI-NPPES
2027403OtherAETNA
362182170MedicaidIL
01625396OtherBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036077560 (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. Mary Louise Kelly allows following entities to bill medicare on her behalf.
Entity NameEdward Health Ventures
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962452912
PECOS PAC ID: 4284531484
Enrollment ID: O20031216000616

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 Louise Kelly 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 Louise Kelly, DO
1125 Westgate St,
Oak Park, IL 60301-1007

Ph: (708) 848-0040		Mary Louise Kelly, DO
1125 Westgate St,
Oak Park, IL 60301-1007

Ph: (708) 848-0040

Reviews and Comments


Family Medicine Doctors in Oak Park, IL

Allison Byrne,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1010 Lake St Ste 301, Oak Park, IL 60301
Phone: 708-524-8600    
Dr. Patrick Carbon, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 610 S Maple Ave, Suite 2100, Oak Park, IL 60304
Phone: 708-660-2240    Fax: 708-660-2243
Dr. Ingrid Y Liu, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 917 S Oak Park Ave Ste B, Oak Park, IL 60304
Phone: 708-386-3080    Fax: 708-386-3084
Dr. Kathryn Vanbuskirk, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1010 Lake St Ste 301, Oak Park, IL 60301
Phone: 708-524-8600    
Dr. Judith Opena Disterhoft, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3 Erie Ct, Oak Park, IL 60302
Phone: 708-383-6200    
Connie D Chappel, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1515 N Harlem Ave, Suite 309, Oak Park, IL 60302
Phone: 708-386-4411    
Kenneth Morris Blair, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1 Erie Ct, Suite 6160, Oak Park, IL 60302
Phone: 708-763-1490    Fax: 708-763-7232

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.