Dr Jeannette Suzanne Codere Kelly, DO - Medicare Family Practice in Chicago, IL

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Dr Jeannette Suzanne Codere Kelly, DO is a medicare enrolled "Family Medicine" physician in Chicago, Illinois. She went to Michigan State University College Of Osteopathic Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Michigan Avenue Primary Care Sc, Resilience Healthcare - Lakefront Medical Associates Llc and her current practice location is 180 N Michigan Ave Ste 1605, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 994-3000.

Dr Jeannette Suzanne Codere Kelly is licensed to practice in Illinois (license number 125063705) 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 1154769081.

Contact Information

Dr Jeannette Suzanne Codere Kelly, DO
180 N Michigan Ave Ste 1605,
Chicago, IL 60601-7478
(312) 994-3000
(612) 201-1202

Map and Direction




Physician's Profile

Full NameDr Jeannette Suzanne Codere Kelly
GenderFemale
SpecialityFamily Practice
Experience11 Years
Location180 N Michigan Ave Ste 1605, Chicago, Illinois
Accepts Medicare AssignmentsYes. 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 Jeannette Suzanne Codere Kelly attended and graduated from Michigan State University College Of Osteopathic Medicine in 2013
  NPI Data:
  • NPI Number: 1154769081
  • Provider Enumeration Date: 06/13/2013
  • Last Update Date: 09/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7810120714
  • Enrollment ID: I20160713002781

Medical Identifiers

Medical identifiers for Dr Jeannette Suzanne Codere Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154769081NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 125063705 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Louis A Weiss Memorial HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Michigan Avenue Primary Care Sc43858988652
Resilience Healthcare - Lakefront Medical Associates Llc599104646849

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 Jeannette Suzanne Codere Kelly allows following entities to bill medicare on her behalf.
Entity NameMichigan Avenue Immediate Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174658694
PECOS PAC ID: 9436296076
Enrollment ID: O20091030000053
Entity NameMichigan Avenue Primary Care Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013239672
PECOS PAC ID: 4385898865
Enrollment ID: O20130209000016
Entity NameResilience Healthcare - Lakefront Medical Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205301926
PECOS PAC ID: 5991046468
Enrollment ID: O20190410000827

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 Jeannette Suzanne Codere Kelly 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
Dr Jeannette Suzanne Codere Kelly, DO
180 N Michigan Ave Ste 1605,
Chicago, IL 60601-7478

Ph: (312) 994-3000		Dr Jeannette Suzanne Codere Kelly, DO
180 N Michigan Ave Ste 1605,
Chicago, IL 60601-7478

Ph: (312) 994-3000

Reviews and Comments


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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.

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