Shelby Quinn Coulter Koschuck, DDS - Medicare Dentist in Maywood, IL

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Shelby Quinn Coulter Koschuck, DDS is a medicare enrolled "Dentist - General Practice" provider in Maywood, Illinois. Her current practice location is 2160 S 1st Ave, Maywood, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 327-3041.

Shelby Quinn Coulter Koschuck is licensed to practice in Illinois (license number 018002146) 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 1508494469.

Contact Information

Shelby Quinn Coulter Koschuck, DDS
2160 S 1st Ave,
Maywood, IL 60153-3328
(708) 327-3041
(708) 327-3489

Map and Direction




Healthcare Provider's Profile

Full NameShelby Quinn Coulter Koschuck
GenderFemale
SpecialityDentist - General Practice
Location2160 S 1st Ave, Maywood, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508494469
  • Provider Enumeration Date: 03/27/2020
  • Last Update Date: 09/13/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9133549421
  • Enrollment ID: I20201027001124

Medical Identifiers

Medical identifiers for Shelby Quinn Coulter Koschuck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508494469NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 018002146 (Illinois)Primary

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. Shelby Quinn Coulter Koschuck 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
Shelby Quinn Coulter Koschuck, DDS
846 Kenwood Blvd.,
Windsor, ONT N9J3C-5

Ph: () -		Shelby Quinn Coulter Koschuck, DDS
2160 S 1st Ave,
Maywood, IL 60153-3328

Ph: (708) 327-3041

Reviews and Comments


Dentist in Maywood, IL

Ian Charles Mccomb,
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Phone: 888-584-7888    
Dr. Cameron James Walker, DDS
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Christopher John Doran, D.D.S.
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Medicare: Not Enrolled in Medicare
Practice Location: 2160 S 1st Ave, Building 105, Room 1814, Maywood, IL 60153
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Dr. Mariusz Kajetan Wrzosek, D.M.D., M.D.
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Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 617-240-6890    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.