Mr Mateo M Betanzos, FNP/BC - Medicare Nurse Practitioner in Chicago, IL

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Mr Mateo M Betanzos, FNP/BC is a medicare enrolled "Nurse Practitioner - Family" in Chicago, Illinois. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Howard Brown Health Center, Tj Siddiqui Inc and his current practice location is 1337 W 19th St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 563-9517.

Mr Mateo M Betanzos is licensed to practice in Illinois (license number 209011574) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457767998.

Contact Information

Mr Mateo M Betanzos, FNP/BC
1337 W 19th St,
Chicago, IL 60608-3896
(312) 563-9517
Not Available

Map and Direction




Provider's Profile

Full NameMr Mateo M Betanzos
GenderMale
SpecialityNurse Practitioner
Experience11 Years
Location1337 W 19th St, Chicago, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Mateo M Betanzos graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1457767998
  • Provider Enumeration Date: 07/04/2014
  • Last Update Date: 01/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4486871050
  • Enrollment ID: I20140806000984

Medical Identifiers

Medical identifiers for Mr Mateo M Betanzos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457767998NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209011574 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Holy Cross HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Howard Brown Health Center105220315555
Tj Siddiqui Inc99312503395

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. Mr Mateo M Betanzos allows following entities to bill medicare on his behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameThe Board Of Trustees Of The University Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158
Entity NameCook County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588612832
PECOS PAC ID: 2860398088
Enrollment ID: O20031209000747
Entity NameHoward Brown Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306048632
PECOS PAC ID: 1052203155
Enrollment ID: O20040325000526
Entity NameParagon Clinical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114139946
PECOS PAC ID: 7214034925
Enrollment ID: O20070515000051
Entity NameTj Siddiqui Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053546820
PECOS PAC ID: 9931250339
Enrollment ID: O20090624000724

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. Mr Mateo M Betanzos 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
Mr Mateo M Betanzos, FNP/BC
4025 N Sheridan Rd,
Chicago, IL 60613-2010

Ph: (773) 388-1600		Mr Mateo M Betanzos, FNP/BC
1337 W 19th St,
Chicago, IL 60608-3896

Ph: (312) 563-9517

Reviews and Comments


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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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