Danielle Marie Southerland, DO in Lisle, IL

Danielle Marie Southerland, DO is a medicare enrolled "Family Medicine" physician in Lisle, Illinois. She went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2018 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Central Dupage Physician Group and her current practice location is 1019 School St, Lisle, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 315-8800.

Danielle Marie Southerland is licensed to practice in Minnesota (license number 65933) 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 1104316058.

Contact Information

	Danielle Marie Southerland, DO
	1019 School St, Lisle, IL 60532-1870
	(630) 315-8800
	(630) 315-8829

Map and Direction

Physician's Profile

Full Name	Danielle Marie Southerland
Gender	Female
Speciality	Family Practice
Experience	7 Years
Location	1019 School St, Lisle, 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:

Danielle Marie Southerland attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2018

NPI Data:

NPI Number: 1104316058
Provider Enumeration Date: 05/16/2018
Last Update Date: 08/08/2022

Medicare PECOS Information:

PECOS PAC ID: 0941557805
Enrollment ID: I20210719000900

Medical Identifiers

Medical identifiers for Danielle Marie Southerland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104316058	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	29213 (Minnesota)	Secondary
207Q00000X	Family Medicine	65933 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Central Dupage Hospital	Winfield, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Dupage Physician Group	5890696231	977

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. Danielle Marie Southerland allows following entities to bill medicare on her behalf.

Entity Name	Central Dupage Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601

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. Danielle Marie Southerland 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
Danielle Marie Southerland, DO 1019 School St, Lisle, IL 60532-1870 Ph: (630) 315-8800	Danielle Marie Southerland, DO 1019 School St, Lisle, IL 60532-1870 Ph: (630) 315-8800

Reviews and Comments

Family Medicine Doctors in Lisle, IL

Michael Robert Forbes, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 Warrenville Rd Ste 310, Lisle, IL 60532 Phone: 630-548-0408 Fax: 630-578-3666
Dr. Zofia Cygan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5980 Route 53, Suite B, Lisle, IL 60532 Phone: 630-355-6040 Fax: 630-968-7716
Saud Siddiqui, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 430 Warrenville Rd Ste 300, Lisle, IL 60532 Phone: 630-364-7850
Dr. Irene Thomas-thevatheril, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3080 Ogden Ave Ste 204, Lisle, IL 60532 Phone: 630-734-0580 Fax: 630-734-0581
Dr. Mariam Alber Kirollos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3033 Ogden Ave Ste 300, Lisle, IL 60532 Phone: 331-702-2455 Fax: 331-229-8191
Marcel Chouinard, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 430 Warrenville Rd Ste 310, Lisle, IL 60532 Phone: 630-548-0408 Fax: 630-578-3666

Danielle Marie Southerland, DO - Medicare Family Practice in Lisle, IL