Amalia Pepek, APN is a medicare enrolled "Family Medicine" in Park Ridge, Illinois. Her current practice location is
1775 Dempster St Rm E592b, Park Ridge, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 723-8080.
Amalia Pepek is licensed to practice in Illinois (license number 209011913) 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 1063818813.
Provider's Profile
Full Name | Amalia Pepek |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 1775 Dempster St Rm E592b, Park Ridge, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063818813
- Provider Enumeration Date: 11/06/2014
- Last Update Date: 03/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 3678877313
- Enrollment ID: I20160201001696
Medical Identifiers
Medical identifiers for Amalia Pepek such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063818813 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209.011913 (Illinois) | Secondary |
207Q00000X | Family Medicine | 209011913 (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. Amalia Pepek allows following entities to bill medicare on her behalf.
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
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Entity Name | County Of Lake |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164446712 PECOS PAC ID: 7214838861 Enrollment ID: O20040116000192 |
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Entity Name | Erie Family Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689 |
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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. Amalia Pepek 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 |
Amalia Pepek, APN 29373 Network Pl, Chicago, IL 60673-1293 Ph: () - | Amalia Pepek, APN 1775 Dempster St Rm E592b, Park Ridge, IL 60068-1143 Ph: (847) 723-8080 |
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