Dr Krzysztof B Siemionow, MD is a medicare enrolled "Orthopaedic Surgery - Orthopaedic Surgery Of The Spine" physician in Homer Glen, Illinois. His current practice location is
12701 W 143rd St, Suite 200, Homer Glen, Illinois. You can reach out to his office (for appointments etc.) via phone at
(877) 694-7722.
Dr Krzysztof B Siemionow is licensed to practice in Illinois (license number 036-123070) 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 1689841314.
Physician's Profile
Full Name | Dr Krzysztof B Siemionow |
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Gender | Male |
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Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine |
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Location | 12701 W 143rd St, Homer Glen, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689841314
- Provider Enumeration Date: 05/12/2008
- Last Update Date: 03/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 6002931128
- Enrollment ID: I20100914000070
Medical Identifiers
Medical identifiers for Dr Krzysztof B Siemionow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689841314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 036-123070 (Illinois) | Primary |
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 Krzysztof B Siemionow allows following entities to bill medicare on his behalf.
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
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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 Krzysztof B Siemionow 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 Krzysztof B Siemionow, MD 12701 W 143rd St, Suite 200, Homer Glen, IL 60491-7715 Ph: (877) 694-7722 | Dr Krzysztof B Siemionow, MD 12701 W 143rd St, Suite 200, Homer Glen, IL 60491-7715 Ph: (877) 694-7722 |
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