Angela L Miciura, MD in Chicago, IL

Angela L Miciura, MD is a medicare enrolled "Surgery" physician in Chicago, Illinois. Her current practice location is 250 E Superior St Ste 4-2304, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 926-5522.

Angela L Miciura is licensed to practice in Illinois (license number 036.164827) 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 1720582794.

Contact Information

	Angela L Miciura, MD
	250 E Superior St Ste 4-2304, Chicago, IL 60611-2914
	(312) 926-5522
	Not Available

Map and Direction

Physician's Profile

Full Name	Angela L Miciura
Gender	Female
Speciality	Surgery
Location	250 E Superior St Ste 4-2304, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720582794
Provider Enumeration Date: 03/22/2018
Last Update Date: 01/11/2024

Medicare PECOS Information:

PECOS PAC ID: 7719236173
Enrollment ID: I20231018000991

Medical Identifiers

Medical identifiers for Angela L Miciura such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720582794	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	036.164827 (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. Angela L Miciura allows following entities to bill medicare on her behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

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. Angela L Miciura 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
Angela L Miciura, MD 25315 Orchard Grove St, Southfield, MI 48033-5346 Ph: (734) 934-2764	Angela L Miciura, MD 250 E Superior St Ste 4-2304, Chicago, IL 60611-2914 Ph: (312) 926-5522

Reviews and Comments

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Jay Prystowsky, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797
Heron Rodriguez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 675 N Saint Clair St, Northwestern Memorial Hospialt Galter 19-100, Chicago, IL 60611 Phone: 312-695-2714

Angela L Miciura, MD - Medicare Surgery in Chicago, IL