Adrienne Schupbach, MD in Bloomington, IL

Adrienne Schupbach, MD is a medicare enrolled "Dermatology" physician in Bloomington, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2009 and has 15 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Dermatology And Skin Cancer Center, Dermatology And Mohs Surgery Skin Cancer Center, Coastal Skin Surgery And Dermatology, Pl, Cenla Dermatology and her current practice location is 3024 E Empire St Ste E&f, Bloomington, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 451-3376.

Adrienne Schupbach is licensed to practice in Missouri (license number 2022005842) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740415777.

Contact Information

	Adrienne Schupbach, MD
	3024 E Empire St Ste E&f, Bloomington, IL 61704-5402
	(309) 451-3376
	Not Available

Map and Direction

Physician's Profile

Full Name	Adrienne Schupbach
Gender	Female
Speciality	Dermatology
Experience	15 Years
Location	3024 E Empire St Ste E&f, Bloomington, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Adrienne Schupbach attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2009

NPI Data:

NPI Number: 1740415777
Provider Enumeration Date: 05/19/2009
Last Update Date: 06/14/2022

Medicare PECOS Information:

PECOS PAC ID: 0143469239
Enrollment ID: I20130621000190

Medical Identifiers

Medical identifiers for Adrienne Schupbach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740415777	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	036.131823 (Illinois)	Secondary
207N00000X	Dermatology	2022005842 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dermatology And Skin Cancer Center	2668821919	2
Dermatology And Mohs Surgery Skin Cancer Center	8527447945	5
Coastal Skin Surgery And Dermatology, Pl	3173715869	16
Cenla Dermatology	0446679161	4

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. Adrienne Schupbach allows following entities to bill medicare on her behalf.

Entity Name	Dermatology And Skin Cancer Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093596652 PECOS PAC ID: 2668821919 Enrollment ID: O20231212001130

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. Adrienne Schupbach 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 Address	Practice Location Address
Adrienne Schupbach, MD 110 Business Park Dr Ste C, Branson, MO 65616-7449 Ph: (417) 336-0033	Adrienne Schupbach, MD 3024 E Empire St Ste E&f, Bloomington, IL 61704-5402 Ph: (309) 451-3376

Reviews and Comments

Dermatology Doctors in Bloomington, IL

Michael Thomas Ginnetti, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1015 S Mercer Ave Ste Gf7, Bloomington, IL 61701 Phone: 309-660-8442
Kent S. Taulbee, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2418 E Lincoln St, Bloomington, IL 61701 Phone: 309-663-6386 Fax: 309-662-7622
Mr. Rajagopala Swaminathan, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3024 E Empire St Ste Eandf, Bloomington, IL 61704 Phone: 309-451-3376 Fax: 309-452-3376
Joanne M Larow, DO Dermatology Medicare: May Accept Medicare Assignments Practice Location: 3302 Gerig Dr Ste 100, Bloomington, IL 61704 Phone: 309-533-7070 Fax: 855-710-6552
Mr. Thomas Richard Brander, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1404 Eastland Drive, Suite 204, Bloomington, IL 61701 Phone: 309-662-8813 Fax: 309-662-6835
Mr. James Richard Seehafer, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1404 Eastland Drive, Suite 204, Bloomington, IL 61701 Phone: 309-662-8813 Fax: 309-662-6835
Mrs. Lucy Nelson Wisdom, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1404 Eastland Drive, Suite 204, Bloomington, IL 61701 Phone: 309-662-8813 Fax: 309-662-6835

Adrienne Schupbach, MD - Medicare Dermatology in Bloomington, IL