Premiere General Medicine S C
A Medicare group practice based in Palos Heights, IL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7719159961), with 5 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7719159961
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- IL
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20111011000687 | IL | Part B Supplier - Clinic/Group Practice | 1437584364 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Premiere General Medicine S C
- Internal Medicine Physician
- Palos Heights, IL
- NPI 1437584364
-
Premiere General Medicine S C
dba Nicholas Rizzo
- Internal Medicine Physician
- Palos Heights, IL
- NPI 1851670566
Practice locations
- Palos Heights, IL2
- Oak Lawn, IL1
- La Grange, IL1
- Hinsdale, IL1
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (2).
-
Kristin Simerdla Doyle, NP-C
- Family Nurse Practitioner
- Palos Heights, IL
- NPI 1255874335
-
Catherine Marie Mendenhall, NP
- Family Nurse Practitioner
- Manhattan, IL
- NPI 1982466603
-
Nicholas Rizzo, M.D.
- Internal Medicine Physician
- South Bend, IN
- NPI 1669447272
-
Holly Ann Rybak, FNP-BC
- Family Nurse Practitioner
- Palos Heights, IL
- NPI 1578380697
-
Thomas Lee Waidzunas, M.D.
- Family Medicine Physician
- Palos Heights, IL
- NPI 1114931862
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.