Nicole R Mott, DO - Medicare Emergency Medicine in Tinley Park, IL

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Nicole R Mott, DO is a medicare enrolled "Emergency Medicine" physician in Tinley Park, Illinois. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Northwestern Medical Faculty Foundation and her current practice location is 17495 La Grange Rd, Tinley Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 364-3163.

Nicole R Mott is licensed to practice in Illinois (license number 036112820) 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 1093732034.

Contact Information

Nicole R Mott, DO
17495 La Grange Rd,
Tinley Park, IL 60487-7581
(708) 364-3163
(708) 226-1969

Map and Direction




Physician's Profile

Full NameNicole R Mott
GenderFemale
SpecialityEmergency Medicine
Experience22 Years
Location17495 La Grange Rd, Tinley Park, 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:
  • Nicole R Mott graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1093732034
  • Provider Enumeration Date: 07/16/2006
  • Last Update Date: 10/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4587685854
  • Enrollment ID: I20051214000553

Medical Identifiers

Medical identifiers for Nicole R Mott such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093732034NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 36112820 (Illinois)Secondary
207P00000XEmergency Medicine 036112820 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Central Dupage HospitalWinfield, ILHospital
Northwestern Memorial HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwestern Medical Faculty Foundation45875768143352

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. Nicole R Mott allows following entities to bill medicare on her behalf.
Entity NameRockford Health Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043242886
PECOS PAC ID: 2567374036
Enrollment ID: O20031103000584
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541
Entity NameOttawa Regional Hospital & Healthcare Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306971080
PECOS PAC ID: 9133029861
Enrollment ID: O20040109000910
Entity NameDupage Medical Group Ltd
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1801833983
PECOS PAC ID: 5496667941
Enrollment ID: O20040116000661
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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. Nicole R Mott 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
Nicole R Mott, DO
885 Roosevelt Rd Ste 100,
Glen Ellyn, IL 60137-6141

Ph: (630) 384-6200		Nicole R Mott, DO
17495 La Grange Rd,
Tinley Park, IL 60487-7581

Ph: (708) 364-3163

Reviews and Comments


Emergency Medicine Doctors in Tinley Park, IL

Blanca E Herrera, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487
Phone: 708-364-3163    Fax: 708-226-1969
Walid Kandah, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6701 159th St, Tinley Park, IL 60477
Phone: 708-429-3300    
Dr. Mazen Diab, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487
Phone: 630-873-8875    
Dr. Melinda Ann Tobin, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487
Phone: 708-364-3163    Fax: 708-226-1969
Melissa M Nelson, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6701 159th St, Tinley Park, IL 60477
Phone: 708-429-3300    
Julie Patacsil, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487
Phone: 708-406-3243    Fax: 708-226-7161

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.