Morgan Colleen Beatty, MD, MPH
Individual provider Active NPI Family Medicine Physician · Oak Park, IL
NPI 1811488679 · NPPES record last updated Jul 1, 2021
Key facts
- NPI
- 1811488679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036156707 (IL)
- Practice address
- 14 Lake St
Oak Park, IL 60302-2606 - Phone
- (708) 383-0113
- Fax
- (708) 383-9911
- NPI assigned
- May 28, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Columbia University College of Physicians and Surgeons, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- PCC Community Wellness Center
Practice addresses (Care Compare)
14 Lake St
Oak Park, IL 60302-2606
Phone 7083830113220005
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211012002101 | IL | Practitioner - Family Practice | 7113325770 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036156707 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PCC Community Wellness Center | Current |
Accepting new patients | |
| PCC Community Wellness Center | Current |
Accepting new patients | |
| PCC Community Wellness Center | Past | Accepting new patients |
Locations
14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113
Interoperability endpoints
- morgan.beatty.1@13158.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 036156707 | IL | Yes |
Addresses
Primary practice location
14 Lake St
Oak Park, IL 60302-2606
Mailing address
14 Lake St
Oak Park, IL 60302-2606
Phone (708) 383-0113
Other providers in Oak Park, IL
- Jeffrey S Bayers
- Melissa Beally
- William Beam
- Emily K Beamer
- Courtney Beasley
- Katarzyna Beben
- Sandra Margaret Bechtol
- Bechtold Vision Services, LTD.
- Sarah Bedell
- Alexus Bedford-Powell
All providers in Oak Park, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.