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EUNICE PAIK
NPI 1942942883
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since April 11, 2022PECOS EnrolledAccepts Medicare Assignment
815 MAIN ST STE C, PEORIA, IL 61602(309) 672-4977 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 15, 2022, Apr 25, 2022, Apr 11, 2022 (3 updates tracked since 2022).

About Eunice Paik NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EUNICE PAIK (NPI 1942942883) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2022).

NPPES Registry Identity

NPI1942942883
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEUNICE PAIK
Location Address815 MAIN ST STE CPeoria, IL 61602-1080
Mailing Address815 Main St Ste CPeoria, IL 61602-1080 · (309) 672-4977
Phone(309) 672-4977
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2022
Enumeration DateApril 11, 2022
Last NPPES UpdateNovember 15, 20223 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
✔ NPI 1942942883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
815 MAIN ST STE C, Peoria, IL 61602
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eunice Paik is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204331481
PECOS Enrollment IDI20250926003527
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Eunice Paik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
1,612 mi
Health Maintenance Organization
43112 N 15TH ST
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1982863783 (661) 726-2279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS TSZ HIM CHOW DO
Student in an Organized Health Care Education/Training Program
815 MAIN ST STE C
PEORIA, IL 61602
Peoria County (309) 672-4977
KYLE COTNER MD
Student in an Organized Health Care Education/Training Program
815 MAIN ST STE C
PEORIA, IL 61602
Peoria County (309) 672-4977
DEMI CASTELLANOS
Student in an Organized Health Care Education/Training Program
815 MAIN ST STE C
PEORIA, IL 61602
Peoria County (309) 672-4977
PATRECE ANTOINETTE BARKER D.O., M.S.
Family Medicine
815 MAIN ST STE C
PEORIA, IL 61602
Peoria County (309) 672-4986
PAIGE ELIZABETH BONNER DO
Student in an Organized Health Care Education/Training Program
815 MAIN ST STE C
PEORIA, IL 61602
Peoria County (309) 672-4977
JEFFREY S. LEMAN MD
Family Medicine
815 MAIN ST STE C
PEORIA, IL 61602
Peoria County (309) 672-4977
DR. KRISHNA SASANKA BATHINA MD
Family Medicine
815 MAIN ST STE C
PEORIA, IL 61602
Peoria County (309) 672-4977
RIDA MOHAMMAD GAREEB MD
Family Medicine
815 MAIN ST STE C
PEORIA, IL 61602
Peoria County (309) 672-4986

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eunice Paik's NPI number?

The NPI number for Eunice Paik is 1942942883. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Eunice Paik located?

Eunice Paik practices at 815 Main St Ste C, Peoria, IL 61602. The listed phone number is (309) 672-4977.

What is Eunice Paik's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Eunice Paik enrolled in Medicare?

Yes. Eunice Paik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Eunice Paik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eunice Paik reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eunice Paik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eunice Paik was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.