Osf Saint Elizabeth Medical Center - Medicare Mental Health Clinic in Ottawa, IL

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Osf Saint Elizabeth Medical Center is a medicare enrolled mental health clinic (General Acute Care Hospital) in Ottawa, Illinois. The current practice location for Osf Saint Elizabeth Medical Center is 1100 E Norris Dr, Ottawa, Illinois. For appointments, you can reach them via phone at (815) 433-3100. The mailing address for Osf Saint Elizabeth Medical Center is 124 Sw Adams St, Attn: Strategic Reimbursement, Peoria, Illinois and phone number is (309) 655-2850.

Osf Saint Elizabeth Medical Center is licensed to practice in Illinois (license number 0002071). The clinic also participates in the medicare program and its NPI number is 1306971080. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (815) 433-3100.

Contact Information

Osf Saint Elizabeth Medical Center
1100 E Norris Dr
Ottawa
IL 61350-1604
(815) 433-3100
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameOsf Saint Elizabeth Medical Center
SpecialityGeneral Acute Care Hospital
Location1100 E Norris Dr, Ottawa, Illinois
Authorized Official Name and PositionRobert C. Sehring (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact3096552850
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Osf Saint Elizabeth Medical Center
124 Sw Adams St
Attn: Strategic Reimbursement
Peoria
IL 61602-1308

Ph: (309) 655-2850		Osf Saint Elizabeth Medical Center
1100 E Norris Dr
Ottawa
IL 61350-1604

Ph: (815) 433-3100

NPI Details:

NPI Number1306971080
Provider Enumeration Date02/22/2007
Last Update Date07/31/2024
Certification Date07/31/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9133029861
Medicare Enrollment IDO20040109000910

Medical Identifiers

Medical identifiers for Osf Saint Elizabeth Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306971080NPI-NPPES
5015092OtherILBLUE SHIELD OF IL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
282N00000XGeneral Acute Care Hospital 0002071 (Illinois)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Osf Saint Elizabeth Medical Center acts as a billing entity for following providers:
Provider NameMark G Vaselakos
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1295754257
PECOS PAC ID: 1254227234
Enrollment ID: I20040226000047
Provider NameVijay Desai
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1497748040
PECOS PAC ID: 0244120475
Enrollment ID: I20040319000245
Provider NameMarianne Mikatstevens
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1598735904
PECOS PAC ID: 5193712610
Enrollment ID: I20040427001445
Provider NameGueorgui S Gueorguiev
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356336952
PECOS PAC ID: 4981694064
Enrollment ID: I20040512001483
Provider NameAdriana P Dumitrescu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376591933
PECOS PAC ID: 5890767230
Enrollment ID: I20040806001135
Provider NameJonas V Sidrys
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1124068275
PECOS PAC ID: 1557320959
Enrollment ID: I20041008001426
Provider NameJasmine N Bhurgri
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821046186
PECOS PAC ID: 1254306723
Enrollment ID: I20041015000070
Provider NameDeirdre E Casagrande
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063448082
PECOS PAC ID: 7416915236
Enrollment ID: I20041228000039
Provider NameKara Oprian Fess
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700843950
PECOS PAC ID: 7113976283
Enrollment ID: I20050117000129
Provider NameSherine F Hanna
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1003886417
PECOS PAC ID: 6002867512
Enrollment ID: I20050202000250
Provider NameRaul V Guerrero
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053307660
PECOS PAC ID: 3274573951
Enrollment ID: I20050512000275
Provider NameEdward Koo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326028507
PECOS PAC ID: 3173567971
Enrollment ID: I20050613001077
Provider NamePatrick J Dowling
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1669491239
PECOS PAC ID: 9830126655
Enrollment ID: I20050725000163
Provider NameNicole R Mott
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1093732034
PECOS PAC ID: 4587685854
Enrollment ID: I20051214000553
Provider NameShaista A Malik
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1407965585
PECOS PAC ID: 8820002405
Enrollment ID: I20060202000855
Provider NameMatthew W Wols
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1427020544
PECOS PAC ID: 1456366053
Enrollment ID: I20060220000174
Provider NameKrystyna D Kiel
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1679549349
PECOS PAC ID: 9638181795
Enrollment ID: I20060608000256
Provider NameAmy M Matheis Soliman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376566539
PECOS PAC ID: 8325042500
Enrollment ID: I20060830000290
Provider NameRuth E Moncayo
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1619902020
PECOS PAC ID: 3274531868
Enrollment ID: I20061114000458
Provider NameLaura L Kula
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1396813010
PECOS PAC ID: 1759381411
Enrollment ID: I20070102000320
Provider NameSteven D Fetzer
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1528111325
PECOS PAC ID: 2567464712
Enrollment ID: I20070201000195
Provider NameRicardo J Calderon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194886226
PECOS PAC ID: 4284684077
Enrollment ID: I20070411000271
Provider NameUshasri Koganti
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992917009
PECOS PAC ID: 5991896102
Enrollment ID: I20070802000117
Provider NameDimitrios T Mougolias
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1053520700
PECOS PAC ID: 3375632748
Enrollment ID: I20071228000405
Provider NameJoan Marie Luckey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881767762
PECOS PAC ID: 7113004391
Enrollment ID: I20080411000656
Provider NameKimberly J Duttlinger
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1548439623
PECOS PAC ID: 5395815534
Enrollment ID: I20080530000605
Provider NameJulie Patacsil
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1508032178
PECOS PAC ID: 8426129289
Enrollment ID: I20080623000087
Provider NameMatthew C Valente
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1942469598
PECOS PAC ID: 1557436284
Enrollment ID: I20080815000648
Provider NameRyan J Tremb
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568638989
PECOS PAC ID: 8729154778
Enrollment ID: I20080827000728
Provider NameMichael S Morrow
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013920420
PECOS PAC ID: 2365504412
Enrollment ID: I20081223000651
Provider NameMark P Gaudio
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1053514414
PECOS PAC ID: 6103982483
Enrollment ID: I20090312000034
Provider NameRobert B Maguire
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174571673
PECOS PAC ID: 8820060155
Enrollment ID: I20100126000619
Provider NameCynthia Asuncion Cabalfin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497708382
PECOS PAC ID: 4284646290
Enrollment ID: I20100318000102
Provider NameJoseph W Chuprevich
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1942313804
PECOS PAC ID: 1850422478
Enrollment ID: I20100625000768
Provider NameAnthony C Zalduendo
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1205844602
PECOS PAC ID: 8123215753
Enrollment ID: I20101208001306
Provider NameBriana N Young
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1750532065
PECOS PAC ID: 6800924101
Enrollment ID: I20101216000955
Provider NameMichael L Glavin
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1376629741
PECOS PAC ID: 0648459156
Enrollment ID: I20110128000633
Provider NameRahul R Sampat
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790937092
PECOS PAC ID: 4981886983
Enrollment ID: I20110312000081
Provider NameKenneth K Potts
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1316960404
PECOS PAC ID: 8527241777
Enrollment ID: I20110324000731
Provider NameAnne M Lauterjung
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1881614857
PECOS PAC ID: 2668657826
Enrollment ID: I20110503000526
Provider NameCraig Kestenberg
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1821174285
PECOS PAC ID: 7618147703
Enrollment ID: I20110829000201
Provider NameGarner N Arnold
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1639464985
PECOS PAC ID: 2264691567
Enrollment ID: I20120306000518
Provider NameChristopher B Beach
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1649245564
PECOS PAC ID: 7113187170
Enrollment ID: I20120328000823
Provider NameNeal D Rushforth
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1811121361
PECOS PAC ID: 3577727874
Enrollment ID: I20120618000694
Provider NameCasey J Hollensteiner
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1750517850
PECOS PAC ID: 6709041049
Enrollment ID: I20120711000437
Provider NameAmi M Dose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548429509
PECOS PAC ID: 1759539406
Enrollment ID: I20120921000155
Provider NameMolly M Kelly
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1114187705
PECOS PAC ID: 3173773603
Enrollment ID: I20121018000576
Provider NameCameron Hitz Colvig
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1689820755
PECOS PAC ID: 2466612072
Enrollment ID: I20121109000256
Provider NameKatherine R Riva Foster
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1073869475
PECOS PAC ID: 1951554856
Enrollment ID: I20121228000336
Provider NameMohammed Asghar Hussain
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1225126535
PECOS PAC ID: 8022088145
Enrollment ID: I20130118000297
Provider NameMegan M Brandt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598019010
PECOS PAC ID: 2769636547
Enrollment ID: I20130201000214
Provider NameSusan C Pavlick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679550420
PECOS PAC ID: 3678594413
Enrollment ID: I20130322000029
Provider NameMohammed Siddiqui
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1639456122
PECOS PAC ID: 8729224720
Enrollment ID: I20130417000630
Provider NameSushmita N Prathipati
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740581776
PECOS PAC ID: 7113153537
Enrollment ID: I20131113000919
Provider NameAmy E Kiraly
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1609197565
PECOS PAC ID: 4385870716
Enrollment ID: I20131113001303
Provider NameChristine E Hermosillo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962838862
PECOS PAC ID: 7911134770
Enrollment ID: I20131226001054
Provider NameJennifer A Berkley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295088391
PECOS PAC ID: 2062641723
Enrollment ID: I20140129001866
Provider NameKelsey A Newman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1609205806
PECOS PAC ID: 2163653874
Enrollment ID: I20140409000933
Provider NameVivian C Lau
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1437443777
PECOS PAC ID: 1456584788
Enrollment ID: I20140512001079
Provider NameStephanie J Kok
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1740575976
PECOS PAC ID: 7911120282
Enrollment ID: I20140514001924
Provider NameRenee Kohlman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073933388
PECOS PAC ID: 5597988220
Enrollment ID: I20140527000195
Provider NameAlejandro Marchini
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1740326719
PECOS PAC ID: 1052536091
Enrollment ID: I20140707000606
Provider NameAdrian Zhubi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1861634990
PECOS PAC ID: 9032338009
Enrollment ID: I20140924001424
Provider NameDanielle Pagano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760891766
PECOS PAC ID: 5395965016
Enrollment ID: I20141001001041
Provider NameJustine E Mucci
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659771863
PECOS PAC ID: 6305066754
Enrollment ID: I20141007000325
Provider NameSusan Marie Wolf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396144663
PECOS PAC ID: 3870713233
Enrollment ID: I20141007000613
Provider NameDaniel R Mueller
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1225343171
PECOS PAC ID: 9335380245
Enrollment ID: I20150409001391
Provider NameKristina L Morgan
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1538424098
PECOS PAC ID: 9436470358
Enrollment ID: I20150623001525
Provider NameImad Khan
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1346538345
PECOS PAC ID: 5193037216
Enrollment ID: I20150702000838
Provider NameSusan M Rohr
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174699599
PECOS PAC ID: 5799099826
Enrollment ID: I20150804003511
Provider NameBranden J Briggs
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1700160959
PECOS PAC ID: 3173765591
Enrollment ID: I20150910001499
Provider NameDexter Resurreccion Angeles
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629335781
PECOS PAC ID: 5092022640
Enrollment ID: I20150915002850
Provider NameJennifer M Kelsey
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1861860058
PECOS PAC ID: 6507166766
Enrollment ID: I20151120000349
Provider NameWanda J Rohl
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053702365
PECOS PAC ID: 2567763121
Enrollment ID: I20151224000194
Provider NameMaria Khattak
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740545441
PECOS PAC ID: 9335388172
Enrollment ID: I20151228000405
Provider NameJoy R Preciado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306216098
PECOS PAC ID: 1850595992
Enrollment ID: I20160108002309
Provider NameWajid Hussain
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1316297948
PECOS PAC ID: 4789987801
Enrollment ID: I20160125000821
Provider NameMeghan Justine Weber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598124109
PECOS PAC ID: 5092012658
Enrollment ID: I20160324001616
Provider NameAshley L Gallick-sokol
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912368994
PECOS PAC ID: 3870883978
Enrollment ID: I20160601002807
Provider NameAlicia M Szafranski
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1912361361
PECOS PAC ID: 2769773449
Enrollment ID: I20160628001172
Provider NameTraci L Keyster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255684072
PECOS PAC ID: 2567754716
Enrollment ID: I20160707002099
Provider NameElise M Joos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558714154
PECOS PAC ID: 6103110556
Enrollment ID: I20160808000747
Provider NameAngela C Nimke
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093889792
PECOS PAC ID: 2062708910
Enrollment ID: I20160901001996
Provider NameJamie Lynn Bond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679024111
PECOS PAC ID: 7113205824
Enrollment ID: I20161101001268
Provider NameLaurence M Jiang
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1770998783
PECOS PAC ID: 6901127729
Enrollment ID: I20161230001230
Provider NameMichael D Craddick
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1831503820
PECOS PAC ID: 6709107626
Enrollment ID: I20170103000821
Provider NameMichael S Lindahl
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1144635905
PECOS PAC ID: 2466766134
Enrollment ID: I20170313001961
Provider NameLouis C Keiler
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1033322219
PECOS PAC ID: 0648348706
Enrollment ID: I20170505001129
Provider NameRuben Cardoso
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1063831477
PECOS PAC ID: 0547570913
Enrollment ID: I20170519000800
Provider NameValerie A Arwood
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659809580
PECOS PAC ID: 8325318314
Enrollment ID: I20170725000741
Provider NameShahmohammed F Parves
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1538394838
PECOS PAC ID: 8123269255
Enrollment ID: I20170907001935
Provider NameShana Elisha Ross
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1982022851
PECOS PAC ID: 7719296995
Enrollment ID: I20170927000036
Provider NameGrant Michael Reed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215354246
PECOS PAC ID: 2365750973
Enrollment ID: I20171012001968
Provider NameLaura Rachel Jarvis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578081790
PECOS PAC ID: 8921374455
Enrollment ID: I20171027000106
Provider NameElizabeth L Stuart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669983789
PECOS PAC ID: 9931467933
Enrollment ID: I20171221000145
Provider NameAustin D Martin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730560822
PECOS PAC ID: 2163739541
Enrollment ID: I20180629001614
Provider NameAlisha N Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487197745
PECOS PAC ID: 2567715519
Enrollment ID: I20181022002454
Provider NameVijay K Sharma
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053795765
PECOS PAC ID: 0446564686
Enrollment ID: I20181026000437
Provider NameKathleen M Hendricks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205312790
PECOS PAC ID: 8022361237
Enrollment ID: I20181105001339
Provider NameLeslie A St. Royal
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1316044316
PECOS PAC ID: 6103093075
Enrollment ID: I20181119003112
Provider NameCourtney Dawn Edsall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558830851
PECOS PAC ID: 6103161898
Enrollment ID: I20181228000479
Provider NameErik John Fossen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1023472883
PECOS PAC ID: 7214223569
Enrollment ID: I20190104000816
Provider NameLindsey A Pastorik
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396397220
PECOS PAC ID: 6507192309
Enrollment ID: I20190801000410
Provider NameAngel L Bermudez
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1346781572
PECOS PAC ID: 3476823725
Enrollment ID: I20190830000883
Provider NameRyan J Gluth
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1609307305
PECOS PAC ID: 2365714425
Enrollment ID: I20190909000052
Provider NameAlex Ireland
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1881083640
PECOS PAC ID: 0345522488
Enrollment ID: I20191002001605
Provider NameCrystal D Reed
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1588626576
PECOS PAC ID: 0244240794
Enrollment ID: I20191025000758
Provider NameKeith J Christensen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255844189
PECOS PAC ID: 9133552466
Enrollment ID: I20191127001370
Provider NameTaylor Anne Vipond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528603057
PECOS PAC ID: 4082049358
Enrollment ID: I20200114002094
Provider NameJill L Wright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891327797
PECOS PAC ID: 5092145524
Enrollment ID: I20200423001315
Provider NameSusana Meschede
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1932553294
PECOS PAC ID: 5698068823
Enrollment ID: I20200519001436
Provider NameClayton Shick
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1689298036
PECOS PAC ID: 2062835168
Enrollment ID: I20200708001751
Provider NameCourtney Klein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598362980
PECOS PAC ID: 0042621492
Enrollment ID: I20201116002730
Provider NameJohn A Stryker
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1023096799
PECOS PAC ID: 8527153964
Enrollment ID: I20210108001122
Provider NameSusan J Olsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508491663
PECOS PAC ID: 8527472661
Enrollment ID: I20210201000392
Provider NameMarcela R Lemus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962175562
PECOS PAC ID: 5294131041
Enrollment ID: I20210902002559
Provider NameCandace R Ramirez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053087767
PECOS PAC ID: 9537567391
Enrollment ID: I20211007003068
Provider NameJordan Danielle Joynt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588253207
PECOS PAC ID: 8527442797
Enrollment ID: I20220907002827
Provider NameAnia Jacqueline Aniol
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1689170003
PECOS PAC ID: 6608122924
Enrollment ID: I20221117000750
Provider NameMelissa E Ramirez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043943830
PECOS PAC ID: 1254703887
Enrollment ID: I20230208002099
Provider NameChristine K Benson-larson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1275600124
PECOS PAC ID: 8729452115
Enrollment ID: I20230327001607
Provider NameLaura Anne Cartwright
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1790480481
PECOS PAC ID: 2769848829
Enrollment ID: I20230515002631
Provider NameAmy Gail Corsolini
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992407738
PECOS PAC ID: 9638538093
Enrollment ID: I20230703000184
Provider NameBridget A Pratt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427741933
PECOS PAC ID: 6901266659
Enrollment ID: I20230713001900
Provider NameLaurie Lisa Herscher
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1750473856
PECOS PAC ID: 0244413821
Enrollment ID: I20231026003696
Provider NameJulie A Threadgill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770360422
PECOS PAC ID: 3173972262
Enrollment ID: I20231214002664
Provider NameDavid Dewei Yang
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1689168338
PECOS PAC ID: 6901154368
Enrollment ID: I20231219001253
Provider NameKevin M Rockey
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1265506810
PECOS PAC ID: 2466803291
Enrollment ID: I20240105002723
Provider NameBeth Anne Aussem
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1275619645
PECOS PAC ID: 7911358403
Enrollment ID: I20240109003101
Provider NameKelsi E Mendez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962275719
PECOS PAC ID: 9032553441
Enrollment ID: I20240213004426
Provider NameVaughn D Klaassen
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1578639290
PECOS PAC ID: 5092150102
Enrollment ID: I20240228003757

Reviews and Comments

General Acute Care Hospital in Ottawa, IL

Arukah Institute Of Healing Inc Nfp
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 613 W Marquette St, Ottawa, IL 61350
Phone: 815-872-2943    
Reach Counseling Inc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 116 W Lafayette St Ste 4, Ottawa, IL 61350
Phone: 815-228-0684    
North Central Behavioral Health Systems, Inc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 727 E Etna Rd, Ottawa, IL 61350
Phone: 815-223-0160    Fax: 815-223-1634
Kokoro Counseling, Llc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 807 La Salle St, Ottawa, IL 61350
Phone: 630-708-0197    
North Central Behavioral Health Systems, Inc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 727 Etna Rd., Ottawa, IL 61350
Phone: 815-223-0160    Fax: 815-223-1634
Illinois Valley Counseling Services
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 807 Lasalle St, Ottawa, IL 61350
Phone: 815-993-1614    
Emc Ottawa
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 408 W Main St, Ottawa, IL 61350
Phone: 815-326-9502    Fax: 815-324-5102

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.