Individual ProviderKatrina WeimerFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address14 Lake St, Oak Park, IL 60302-2606(708) 383-0113(608) 260-6000PECOS EnrollmentBased on the most recent information from CMS, provider Katrina Weimer is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1083148464Provider TypeIndividualFull NameWeimer, KatrinaTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date4/12/2017Last Updated12/20/2020Contact InformationPractice LocationPractice Address14 Lake St, Oak Park, IL 60302-2606Phone(708) 383-0113FaxUnlisted FaxMailing LocationMailing Address1821 S Stoughton Rd, Madison, WI 53716-2257Phone(608) 260-6000Fax(608) 260-6161Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036.152795IllinoisCode207P00000XDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense70234-20WisconsinProvider IdentifiersIDDescriptionIssuerID1083148464DescriptionMedicaidIssuerUnlistedWisconsin