Sophia Hope Kannenberg O' Bryan, PA-C - Medicare Physician Assistant in Libertyville, IL

Sophia Hope Kannenberg O' Bryan, PA-C is a medicare enrolled "Physician Assistant" in Libertyville, Illinois. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Endeavor Health Medical Group and her current practice location is 720 Florsheim Dr, Libertyville, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 247-4000.

Sophia Hope Kannenberg O' Bryan is licensed to practice in Illinois (license number 085-006740) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801379383.

Contact Information

Sophia Hope Kannenberg O' Bryan, PA-C
720 Florsheim Dr,
Libertyville, IL 60048-3757
(847) 247-4000
(847) 234-2090

Map and Direction




Provider's Profile

Full NameSophia Hope Kannenberg O' Bryan
GenderFemale
SpecialityPhysician Assistant
Experience6 Years
Location720 Florsheim Dr, Libertyville, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sophia Hope Kannenberg O' Bryan graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1801379383
  • Provider Enumeration Date: 09/11/2018
  • Last Update Date: 08/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8325390537
  • Enrollment ID: I20181016001093

Medical Identifiers

Medical identifiers for Sophia Hope Kannenberg O' Bryan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801379383NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 085-006740 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northshore University Healthsystem - Evanston HospitalEvanston, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Endeavor Health Medical Group21633346992710

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. Sophia Hope Kannenberg O' Bryan 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
Sophia Hope Kannenberg O' Bryan, PA-C
1000 E Rollins Rd,
Round Lake Beach, IL 60073-2228

Ph: (847) 324-3976
Sophia Hope Kannenberg O' Bryan, PA-C
720 Florsheim Dr,
Libertyville, IL 60048-3757

Ph: (847) 247-4000

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).

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.