Matthew M Pellerite, MD, MPH in Evanston, IL

Matthew M Pellerite, MD, MPH is a medicare enrolled "Pediatrics" physician in Evanston, Illinois. His current practice location is 2650 Ridge Ave, Walgreen 1505, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 570-2033.

Matthew M Pellerite is licensed to practice in Illinois (license number 036.130987) 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 1548593049.

Contact Information

	Matthew M Pellerite, MD, MPH
	2650 Ridge Ave, Walgreen 1505, Evanston, IL 60201-1718
	(847) 570-2033
	(847) 570-0231

Map and Direction

Physician's Profile

Full Name	Matthew M Pellerite
Gender	Male
Speciality	Pediatrics
Location	2650 Ridge Ave, Evanston, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548593049
Provider Enumeration Date: 09/15/2009
Last Update Date: 03/31/2021

Medicare PECOS Information:

PECOS PAC ID: 7012143233
Enrollment ID: I20131118001566

Medical Identifiers

Medical identifiers for Matthew M Pellerite such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548593049	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036.130987 (Illinois)	Primary
208000000X	Pediatrics	125057065 (Illinois)	Secondary

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. Matthew M Pellerite allows following entities to bill medicare on his behalf.

Entity Name	Swedish Covenant Management Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760432348 PECOS PAC ID: 4486556016 Enrollment ID: O20040123000850

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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. Matthew M Pellerite 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
Matthew M Pellerite, MD, MPH 2650 Ridge Ave, Walgreen 1505, Evanston, IL 60201-1718 Ph: (847) 570-2033	Matthew M Pellerite, MD, MPH 2650 Ridge Ave, Walgreen 1505, Evanston, IL 60201-1718 Ph: (847) 570-2033

Reviews and Comments

Pediatrics Doctors in Evanston, IL

Dr. Rosita Stephen Pildes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1319 Ridge Ave, Evanston, IL 60201 Phone: 847-491-9742 Fax: 847-491-9740
Dr. Sadie Anne Laponsie, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2000
Susan Amy Roth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Central St, Suite 765, Evanston, IL 60201 Phone: 847-570-1507 Fax: 847-570-1577
Ana Claudia Taddei, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2530 Fax: 847-570-0231
Julie Shields Holland, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Central St, Suite 765, Evanston, IL 60201 Phone: 847-570-1507 Fax: 847-570-1577
Dr. Najah Senno Musacchio, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Dodge Ave Rm H-101, Evanston, IL 60201 Phone: 847-424-7265 Fax: 847-492-5809
Sharon M Robinson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Central St, Suite 765, Evanston, IL 60201 Phone: 847-570-1507 Fax: 847-570-1577

Matthew M Pellerite, MD, MPH - Medicare Pediatrics in Evanston, IL