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

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



Provider's Profile

Full NameMrs Gina Marie Golem
GenderFemale
SpecialityNurse Practitioner - Family
Location4440 W 95th St, Oak Lawn, Illinois
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1093118994NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse 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 NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064

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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 AddressPractice 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

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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    
Jeanne B Schramm, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-684-7730    Fax: 708-684-1028
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    

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