Taylor Petrusevski, MD in Chicago, IL

Taylor Petrusevski, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Chicago, Illinois. Her current practice location is 5841 S Maryland Ave # 5068, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 702-3820.

Taylor Petrusevski is licensed to practice in Illinois (license number 036164615) 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 1689294654.

Contact Information

	Taylor Petrusevski, MD
	5841 S Maryland Ave # 5068, Chicago, IL 60637-1443
	(773) 702-3820
	Not Available

Map and Direction

Physician's Profile

Full Name	Taylor Petrusevski
Gender	Female
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	5841 S Maryland Ave # 5068, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689294654
Provider Enumeration Date: 04/20/2020
Last Update Date: 04/22/2024

Medicare PECOS Information:

PECOS PAC ID: 8022431147
Enrollment ID: I20230830002404

Medical Identifiers

Medical identifiers for Taylor Petrusevski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689294654	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	125.075550 (Illinois)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	036164615 (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. Taylor Petrusevski allows following entities to bill medicare on her behalf.

Entity Name	University Of Chicago
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094

Entity Name	The University Of Chicago Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203

Entity Name	Cook County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747

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. Taylor Petrusevski 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
Taylor Petrusevski, MD 150 Harvester Dr Ste 300, Burr Ridge, IL 60527-5965 Ph: (773) 702-1000	Taylor Petrusevski, MD 5841 S Maryland Ave # 5068, Chicago, IL 60637-1443 Ph: (773) 702-3820

Reviews and Comments

Pediatrics Doctors in Chicago, IL

Nupur Mittal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1725 W. Harrison St Suite 710, Rush University Medical Center,, Chicago, IL 60612 Phone: 312-942-5983 Fax: 312-563-2519
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Bessey Elizabeth Jose Geevarghese, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 630-933-6631
Bernadeta Leegan Wibisono, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2951 S King Dr Apt 1004, Chicago, IL 60616 Phone: 312-351-1346
Allie Dakroub, MD MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000
Ajay Bhasin, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-5924
Kyle L Macquarrie, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 30, Chicago, IL 60611 Phone: 312-227-4000

Taylor Petrusevski, MD - Medicare Pediatrics in Chicago, IL