Katelyn Mirabito, PA-C - Medicare Physician Assistant in Hanover Park, IL

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Katelyn Mirabito, PA-C is a medicare enrolled "Physician Assistant" in Hanover Park, Illinois. Her current practice location is 1515 E Lake St, Hanover Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 472-1500.

Katelyn Mirabito is licensed to practice in Illinois (license number 085006610) 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 1720597891.

Contact Information

Katelyn Mirabito, PA-C
1515 E Lake St,
Hanover Park, IL 60133-4869
(847) 472-1500
Not Available

Map and Direction




Provider's Profile

Full NameKatelyn Mirabito
GenderFemale
SpecialityPhysician Assistant
Location1515 E Lake St, Hanover Park, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720597891
  • Provider Enumeration Date: 09/21/2017
  • Last Update Date: 04/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5395011241
  • Enrollment ID: I20171023000019

Medical Identifiers

Medical identifiers for Katelyn Mirabito such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720597891NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA6276 (Massachusetts)Secondary
363A00000XPhysician Assistant 10002952A (Indiana)Secondary
363A00000XPhysician Assistant 085006610 (Illinois)Primary

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. Katelyn Mirabito 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
Katelyn Mirabito, PA-C
1515 E Lake St,
Hanover Park, IL 60133-4869

Ph: (847) 472-1500		Katelyn Mirabito, PA-C
1515 E Lake St,
Hanover Park, IL 60133-4869

Ph: (847) 472-1500

Reviews and Comments


Physician Assistant Nurses in Hanover Park, IL

Ms. Saira Sajid Chatha, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 8187 Northway Dr, Hanover Park, IL 60133
Phone: 630-398-1199    
Mrs. Elizabeth Phillips Kelley, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1515 W Lake Street, Suite 203, Hanover Park, IL 60133
Phone: 630-830-5926    
Mrs. Lauren Nicole Drimer, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7425 Barrington Rd, Hanover Park, IL 60133
Phone: 630-823-0392    Fax: 630-855-6349
Elisabeth Layton, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1515 E Lake St, Hanover Park, IL 60133
Phone: 844-599-3700    

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.