Patricia A Raetz, BSN/MSN/APN | |
259 E Erie St, Chicago, IL 60611 | |
(312) 695-8143 | |
(312) 695-4430 |
Full Name | Patricia A Raetz |
---|---|
Gender | Female |
Speciality | Certified Clinical Nurse Specialist (cns) |
Experience | 31 Years |
Location | 259 E Erie St, Chicago, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760495410 | NPI | - | NPPES |
0222075 | Other | IL | BLUE CROSS GROUP NUMBER |
36-3149833 | Other | IL | TAX IDENTIFICATION NUMBER |
P00686148 | Other | IL | MEDICARE RAILROAD |
3631498336019001 | Other | IL | CDPG HFS PAYEE ID |
CA4748 | Other | IL | MEDICARE RR GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SN0800X | Clinical Nurse Specialist - Neuroscience | 209001060 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwestern Memorial Hospital | Chicago, IL | Hospital |
Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
Central Dupage Hospital | Winfield, IL | Hospital |
Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
Palos Community Hospital | Palos heights, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
---|---|
Patricia A Raetz, BSN/MSN/APN 25 Winfield Road, Winfield, IL 60190 Ph: (630) 614-4066 | Patricia A Raetz, BSN/MSN/APN 259 E Erie St, Chicago, IL 60611 Ph: (312) 695-8143 |
Heather Keldahl, CRNA Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1653 W Congress Pkwy, Jelke 739, Chicago, IL 60612 Phone: 312-942-6504 Fax: 312-942-5773 | |
Nancy Therese Scott, DNP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 5841 S Maryland Avenue, University Of Chicago Medicine, Chicago, IL 60637 Phone: 773-926-9147 Fax: 773-702-8690 | |
Patricia Nwadinma Ezirike, PMHNP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2207 W Lunt Ave, Chicago, IL 60645 Phone: 773-297-7911 | |
Gabriel Campos, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1927 Fax: 773-702-2837 | |
Maria Barnes, C.N.S. Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000 | |
Mary Jane Welch, NP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2150 W Harrison St, Chicago, IL 60612 Phone: 312-942-3112 Fax: 312-942-2874 | |
Nancy Ruth Meyer, APN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2545 S King Dr, Chicago, IL 60616 Phone: 312-842-7117 |