Nicolas Kettaneh, MD - Medicare Emergency Medicine in Oak Lawn, IL

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Nicolas Kettaneh, MD is a medicare enrolled "Emergency Medicine" physician in Oak Lawn, Illinois. His current practice location is 4440 W 95th St, Oak Lawn, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 684-5354.

Nicolas Kettaneh is licensed to practice in Illinois (license number 036.133560) 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 1063708196.

Contact Information

Nicolas Kettaneh, MD
4440 W 95th St,
Oak Lawn, IL 60453-2600
(708) 684-5354
(708) 684-1028

Map and Direction




Physician's Profile

Full NameNicolas Kettaneh
GenderMale
SpecialityEmergency Medicine
Location4440 W 95th St, Oak Lawn, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063708196
  • Provider Enumeration Date: 06/27/2011
  • Last Update Date: 05/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5092948810
  • Enrollment ID: I20140501002095

Medical Identifiers

Medical identifiers for Nicolas Kettaneh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063708196NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036.133560 (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. Nicolas Kettaneh allows following entities to bill medicare on his behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameEm Strategies Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679791834
PECOS PAC ID: 6103925920
Enrollment ID: O20070620000148
Entity NameIllinois Emergency Medicine Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003150962
PECOS PAC ID: 6103071808
Enrollment ID: O20130304000132

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. Nicolas Kettaneh 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
Nicolas Kettaneh, MD
29373 Network Pl,
Chicago, IL 60673-1293

Ph: (847) 390-5900		Nicolas Kettaneh, MD
4440 W 95th St,
Oak Lawn, IL 60453-2600

Ph: (708) 684-5354

Reviews and Comments


Emergency Medicine Doctors in Oak Lawn, IL

Michael Cirone, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-684-5375    Fax: 708-684-1028
Peter Peraud, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-684-4077    
Dr. Thomas Kevin Seagraves, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-283-5500    
Dr. Timothy Koplik Henderson, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-684-5375    
Elizabeth Kunjummen, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-283-5500    
Ms. Meghan Maureen Hurley, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-684-5354    

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.