Dr Angela Marie Sutton, DO is a medicare enrolled "Dermatology" physician in Fairview Heights, Illinois. She went to Kansas City University Of Physicians And Surgeons and graduated in 2013 and has 11 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Distinctive Dermatology Ltd and her current practice location is
390 Office Ct, Fairview Heights, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 233-7666.
Dr Angela Marie Sutton is licensed to practice in Illinois (license number 036.145269) 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 1124361159.
Physician's Profile
Full Name | Dr Angela Marie Sutton |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 11 Years |
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Location | 390 Office Ct, Fairview Heights, Illinois |
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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:
- Dr Angela Marie Sutton attended and graduated from Kansas City University Of Physicians And Surgeons in 2013
NPI Data:
- NPI Number: 1124361159
- Provider Enumeration Date: 03/27/2013
- Last Update Date: 03/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 3870736655
- Enrollment ID: I20180904003481
Medical Identifiers
Medical identifiers for Dr Angela Marie Sutton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124361159 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 2018027246 (Missouri) | Secondary |
207ND0900X | Dermatology - Dermatopathology | 2018027246 (Missouri) | Secondary |
207ND0900X | Dermatology - Dermatopathology | 036.145269 (Illinois) | Secondary |
207N00000X | Dermatology | 036.145269 (Illinois) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Distinctive Dermatology Ltd | 1850365842 | 5 |
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. Dr Angela Marie Sutton allows following entities to bill medicare on her behalf.
Entity Name | Distinctive Dermatology Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518028398 PECOS PAC ID: 1850365842 Enrollment ID: O20040825000184 |
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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. Dr Angela Marie Sutton 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 |
Dr Angela Marie Sutton, DO 390 Office Ct, Fairview Heights, IL 62208-2059 Ph: (618) 233-7666 | Dr Angela Marie Sutton, DO 390 Office Ct, Fairview Heights, IL 62208-2059 Ph: (618) 233-7666 |
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