Douglas Anthony Kruse, MD - Medicare Hospitalist in Belleville, IL

Douglas Anthony Kruse, MD is a medicare enrolled "Family Medicine" physician in Belleville, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1995 and has 29 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Macoupin Physician Services, Pc and his current practice location is 4500 Memorial Dr, Belleville, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 257-6220.

Douglas Anthony Kruse is licensed to practice in Illinois (license number 036-098255) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194830661.

Contact Information

Douglas Anthony Kruse, MD
4500 Memorial Dr,
Belleville, IL 62226-5360
(618) 257-6220
Not Available

Map and Direction




Physician's Profile

Full NameDouglas Anthony Kruse
GenderMale
SpecialityHospitalist
Experience29 Years
Location4500 Memorial Dr, Belleville, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Douglas Anthony Kruse attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1995
  NPI Data:
  • NPI Number: 1194830661
  • Provider Enumeration Date: 08/21/2006
  • Last Update Date: 03/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5294929444
  • Enrollment ID: I20101101001357

Medical Identifiers

Medical identifiers for Douglas Anthony Kruse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194830661NPI-NPPES
036-098255MedicaidIL
100888OtherILGROUP HEALTH PLAN
01427671OtherILIL BLUESHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 036098255 (Illinois)Secondary
207Q00000XFamily Medicine 036-098255 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carlinville Area HospitalCarlinville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Macoupin Physician Services, Pc741634594711

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. Douglas Anthony Kruse allows following entities to bill medicare on his behalf.
Entity NameCarlinville Area Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932275641
PECOS PAC ID: 9032021373
Enrollment ID: O20031104000520
Entity NameFairview Heights Medical Group Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679503668
PECOS PAC ID: 6800784083
Enrollment ID: O20040309000650
Entity NameMacoupin Physician Services, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013686302
PECOS PAC ID: 7416345947
Enrollment ID: O20211102001556

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. Douglas Anthony Kruse 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
Douglas Anthony Kruse, MD
4500 Memorial Dr,
Belleville, IL 62226-5360

Ph: (618) 257-6220
Douglas Anthony Kruse, MD
4500 Memorial Dr,
Belleville, IL 62226-5360

Ph: (618) 257-6220

Reviews and Comments


Family Medicine Doctors in Belleville, IL

Wallace K Abel, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 311 W Lincoln St Ste 200, Belleville, IL 62220
Phone: 618-234-2566    Fax: 618-234-5650
Dr. Shannon Erin Witty, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 180 S 3rd St Ste 400, Belleville, IL 62220
Phone: 618-233-7880    
Naveen Kumar Reddy Bondalapati, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-233-3066    Fax: 618-257-6679
David J Nyquist, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-257-6220    Fax: 618-257-6679
Niraj J Shah, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4700 Memorial Dr Ste 210, Belleville, IL 62226
Phone: 618-767-7000    
Brett Allen Nance, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 180 S 3rd St, Suite 400, Belleville, IL 62220
Phone: 618-233-7880    Fax: 618-222-4792
Rosanne L Sutter, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 211 S 3rd St, Belleville, IL 62220
Phone: 618-234-2120    

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).

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