Charmaine Pelayo, in Chicago Ridge, IL - Medicare Nurse Practitioner

Charmaine Pelayo, is a medicare enrolled "Nurse Practitioner" in Chicago Ridge, Illinois. Her current practice location is 10604 Southwest Hwy, Chicago Ridge, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 422-0636.

Charmaine Pelayo is licensed to practice in Illinois (license number 209.019560) 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 1366084725.

Contact Information

	Charmaine Pelayo,
	10604 Southwest Hwy, Chicago Ridge, IL 60415-2704
	(708) 422-0636
	Not Available

Map and Direction

Provider's Profile

Full Name	Charmaine Pelayo
Gender	Female
Speciality	Nurse Practitioner
Location	10604 Southwest Hwy, Chicago Ridge, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366084725
Provider Enumeration Date: 10/16/2019
Last Update Date: 10/24/2023

Medicare PECOS Information:

PECOS PAC ID: 5496172702
Enrollment ID: I20200901003139

Medical Identifiers

Medical identifiers for Charmaine Pelayo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366084725	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209.019560 (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. Charmaine Pelayo allows following entities to bill medicare on her behalf.

Entity Name	Midwest Pulmonary Critical Care & Sleep Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467951095 PECOS PAC ID: 5799048526 Enrollment ID: O20180514000039

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. Charmaine Pelayo 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
Charmaine Pelayo, 10604 Southwest Hwy, Chicago Ridge, IL 60415-2704 Ph: (708) 422-0636	Charmaine Pelayo, 10604 Southwest Hwy, Chicago Ridge, IL 60415-2704 Ph: (708) 422-0636

Reviews and Comments

Nurse Practitioner Nurses in Chicago Ridge, IL

Shahira Halim, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10604 Southwest Hwy Ste 200, Chicago Ridge, IL 60415 Phone: 708-424-9710
Kayla Danielle Richert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10604 Southwest Hwy Ste 107, Chicago Ridge, IL 60415 Phone: 708-422-0636
Sarah Folino, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10604 Southwest Hwy Ste 200, Chicago Ridge, IL 60415 Phone: 708-424-9710
Regina Tsang, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10258 Southwest Hwy Ste A, Chicago Ridge, IL 60415 Phone: 708-346-9533 Fax: 708-499-4312
Camlinh Roska, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10604 Sw Hwy Suite 200, Chicago Ridge, IL 60415 Phone: 708-424-9710
Ms. Lilly H Park, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10604 Southwest Hwy Ste 200, Chicago Ridge, IL 60415 Phone: 708-424-9710

Charmaine Pelayo, - Medicare Nurse Practitioner in Chicago Ridge, IL