Jaclyn Mary Petrov, APN - Medicare Nurse Practitioner in Mokena, IL

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Jaclyn Mary Petrov, APN is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in Mokena, Illinois. Her current practice location is 10260 191st St Ste 100, Mokena, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 572-7669.

Jaclyn Mary Petrov is licensed to practice in Indiana (license number 209.019158) 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 1295399178.

Contact Information

Jaclyn Mary Petrov, APN
10260 191st St Ste 100,
Mokena, IL 60448-8802
(708) 572-7669
(708) 422-4253

Map and Direction




Provider's Profile

Full NameJaclyn Mary Petrov
GenderFemale
SpecialityNurse Practitioner - Obstetrics & Gynecology
Location10260 191st St Ste 100, Mokena, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295399178
  • Provider Enumeration Date: 04/26/2019
  • Last Update Date: 09/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1951775956
  • Enrollment ID: I20230314002051

Medical Identifiers

Medical identifiers for Jaclyn Mary Petrov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295399178NPI-NPPES
209.019158OtherILAPN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LX0001XNurse Practitioner - Obstetrics & Gynecology 209.019158 (Indiana)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. Jaclyn Mary Petrov allows following entities to bill medicare on her behalf.
Entity NameObstetrical And Gynecological Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912045345
PECOS PAC ID: 3476443581
Enrollment ID: O20040319000952
Entity NameNorthshore Health Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114257300
PECOS PAC ID: 5799671236
Enrollment ID: O20040827000220

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. Jaclyn Mary Petrov 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
Jaclyn Mary Petrov, APN
10260 191st St Ste 100,
Mokena, IL 60448-8802

Ph: (708) 572-7669		Jaclyn Mary Petrov, APN
10260 191st St Ste 100,
Mokena, IL 60448-8802

Ph: (708) 572-7669

Reviews and Comments


Nurse Practitioner Nurses in Mokena, IL

Cynthia Phillips,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11200 W Lincoln Hwy, Mokena, IL 60448
Phone: 815-464-2171    
Mrs. Shonda Lynn Farris, RN, MSN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11200 Lincoln Hwy, Mokena, IL 60448
Phone: 815-464-2171    
Dr. Victoria O. Fadiya, DNP
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Medicare: Medicare Enrolled
Practice Location: 9405 Bormet Dr Ste 10, Mokena, IL 60448
Phone: 708-481-0095    Fax: 866-299-8890
Ms. Irene Bresingham, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11200 W Lincoln Hwy, Mokena, IL 60448
Phone: 815-464-2171    
Lindsie Fransen, MSN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11200 Lincoln Hwy, Mokena, IL 60448
Phone: 866-389-2727    
Sarah Cupp, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 11243 W Laporte Rd, Mokena, IL 60448
Phone: 708-479-4681    Fax: 708-479-8516
Ann Lynn Pampalone, RN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11200 W Lincoln Hwy, Mokena, IL 60448
Phone: 815-464-2171    Fax: 815-464-2176

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).

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