Dr Charles J Marcuccilli, MD in Burr Ridge, IL - Medicare Psychiatry & Neurology

Dr Charles J Marcuccilli, MD is a medicare enrolled "Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology" physician in Burr Ridge, Illinois. His current practice location is 180 Harvester Dr, Suite 110, Burr Ridge, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 702-1150.

Dr Charles J Marcuccilli is licensed to practice in Illinois (license number 036102274) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801849559.

Contact Information

	Dr Charles J Marcuccilli, MD
	180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594
	(773) 702-1150
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Charles J Marcuccilli
Gender	Male
Speciality	Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology
Location	180 Harvester Dr, Burr Ridge, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801849559
Provider Enumeration Date: 05/17/2006
Last Update Date: 09/19/2024

Medicare PECOS Information:

PECOS PAC ID: 5597788109
Enrollment ID: I20130215000401

Medical Identifiers

Medical identifiers for Dr Charles J Marcuccilli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801849559	NPI	-	NPPES
34818000	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0402X	Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology	036102274 (Illinois)	Primary
2080P0008X	Pediatrics - Neurodevelopmental Disabilities	036102274 (Illinois)	Secondary

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 Charles J Marcuccilli allows following entities to bill medicare on his behalf.

Entity Name	Pediatric Faculty Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518064716 PECOS PAC ID: 4789597279 Enrollment ID: O20031111000157

Entity Name	Rush University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228

Entity Name	Rush University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871560961 PECOS PAC ID: 5496744005 Enrollment ID: O20040510000386

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 Charles J Marcuccilli 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 Charles J Marcuccilli, MD 5841 S Maryland Ave, Dept Of Pediatrics, Mc 3055, Chicago, IL 60637-1447 Ph: (773) 702-6487	Dr Charles J Marcuccilli, MD 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 Ph: (773) 702-1150

Reviews and Comments

Psychiatry & Neurology Doctors in Burr Ridge, IL

Dr. Elizabeth Valencia Bernardino, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7055 Veterans Blvd, Unit C, Burr Ridge, IL 60527 Phone: 630-325-4899 Fax: 630-325-4811
Amara Mian, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 20 Hidden Lake Dr, Burr Ridge, IL 60527 Phone: 630-915-4673
Dr. Bharathi Marri, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6972 Fieldstone Dr, Burr Ridge, IL 60527 Phone: 630-241-1495 Fax: 630-241-1543
Dr. Priti Singh, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 16w300 83rd St Ste 100, Burr Ridge, IL 60527 Phone: 630-230-3372 Fax: 630-568-5050
Anthony T Reder, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064
John S Ebersole, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064
Aarti Mehta, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 149 Tomlin Cir, Burr Ridge, IL 60527 Phone: 630-863-6206

Dr Charles J Marcuccilli, MD - Medicare Psychiatry & Neurology in Burr Ridge, IL