Mikaela Lynne Mcgrory, PA-C is a medicare enrolled "Physician Assistant" in Forest Park, Illinois. Her current practice location is
8200 W. Roosevelt Road, Forest Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 488-9850.
Mikaela Lynne Mcgrory is licensed to practice in Illinois (license number 085004288) 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 1851666226.
Provider's Profile
Full Name | Mikaela Lynne Mcgrory |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 8200 W. Roosevelt Road, Forest Park, 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: 1851666226
- Provider Enumeration Date: 03/18/2012
- Last Update Date: 10/29/2015
Medicare PECOS Information:
- PECOS PAC ID: 0345400305
- Enrollment ID: I20120328000771
Medical Identifiers
Medical identifiers for Mikaela Lynne Mcgrory such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851666226 | NPI | - | NPPES |
085004288 | Other | IL | LICENSE NO |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 085004288 (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. Mikaela Lynne Mcgrory 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 |
Mikaela Lynne Mcgrory, PA-C 401 N Michigan Ave, Suite 1200, Chicago, IL 60611-4264 Ph: (312) 635-0973 | Mikaela Lynne Mcgrory, PA-C 8200 W. Roosevelt Road, Forest Park, IL 60130-2528 Ph: (708) 488-9850 |
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