Mrs Gina Marie Golem, APN in Oak Lawn, IL - Medicare Nurse Practitioner

Mrs Gina Marie Golem, APN is a medicare enrolled "Nurse Practitioner - Family" in Oak Lawn, Illinois. Her current practice location is 4440 W 95th St, Oak Lawn, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 684-5580.

Mrs Gina Marie Golem is licensed to practice in Illinois (license number 209011976) 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 1093118994.

Contact Information

	Mrs Gina Marie Golem, APN
	4440 W 95th St, Oak Lawn, IL 60453-2600
	(708) 684-5580
	(708) 684-4068

Map and Direction

Provider's Profile

Full Name	Mrs Gina Marie Golem
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4440 W 95th St, Oak Lawn, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093118994
Provider Enumeration Date: 10/06/2014
Last Update Date: 06/27/2022

Medicare PECOS Information:

PECOS PAC ID: 6305068552
Enrollment ID: I20141104001018

Medical Identifiers

Medical identifiers for Mrs Gina Marie Golem such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093118994	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209011976 (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. Mrs Gina Marie Golem allows following entities to bill medicare on her behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

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. Mrs Gina Marie Golem 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
Mrs Gina Marie Golem, APN 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900	Mrs Gina Marie Golem, APN 4440 W 95th St, Oak Lawn, IL 60453-2600 Ph: (708) 684-5580

Reviews and Comments

Nurse Practitioner Nurses in Oak Lawn, IL

Danielle Robinson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 310, Oak Lawn, IL 60453 Phone: 708-684-9230 Fax: 708-684-9231
Amy Simone, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 404, Oak Lawn, IL 60453 Phone: 800-323-8622
Andrea Christina Hammond, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5354
Molly Ann Best, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5437 Fax: 708-684-4808
Mr. Kevin Vermeer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4061 W 95th St, Oak Lawn, IL 60453 Phone: 630-790-1872 Fax: 708-229-0090
Diana Polkowska, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-612-6133
Gloria Mudryj, MSN, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-2153

Mrs Gina Marie Golem, APN - Medicare Nurse Practitioner in Oak Lawn, IL