Dr Kathleen Lea Summers, MD, PHD is a medicare enrolled "Hospitalist" physician in Jacksonville, Illinois. She went to Northwestern University Feinberg Medical School and graduated in 1998 and has 26 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Springfield Clinic Llp and her current practice location is
1600 W Walnut St, Jacksonville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 245-9541.
Dr Kathleen Lea Summers is licensed to practice in Illinois (license number 036103814) 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 1750433611.
Physician's Profile
Full Name | Dr Kathleen Lea Summers |
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Gender | Female |
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Speciality | Internal Medicine |
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Experience | 26 Years |
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Location | 1600 W Walnut St, Jacksonville, 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 Kathleen Lea Summers attended and graduated from Northwestern University Feinberg Medical School in 1998
NPI Data:
- NPI Number: 1750433611
- Provider Enumeration Date: 01/18/2007
- Last Update Date: 04/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 6709873334
- Enrollment ID: I20160210001694
Medical Identifiers
Medical identifiers for Dr Kathleen Lea Summers such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750433611 | NPI | - | NPPES |
L997718 | Medicaid | IL | |
L97187 | Medicaid | IL | |
L86359 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 036103814 (Illinois) | Secondary |
208M00000X | Hospitalist | 036103814 (Illinois) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Springfield Clinic Llp | 0547166076 | 673 |
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 Kathleen Lea Summers allows following entities to bill medicare on her behalf.
Entity Name | Good Samaritan Regional Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325 |
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Entity Name | Springfield Clinic Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
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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 Kathleen Lea Summers 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 Kathleen Lea Summers, MD, PHD 1600 W Walnut St, Jacksonville, IL 62650-1199 Ph: (217) 245-9541 | Dr Kathleen Lea Summers, MD, PHD 1600 W Walnut St, Jacksonville, IL 62650 Ph: (217) 245-9541 |
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