Dr Marie Myrlande Kernizan, MD in Chicago, IL

Dr Marie Myrlande Kernizan, MD is a medicare enrolled "General Practice" physician in Chicago, Illinois. Her current practice location is 9625 S Colfax Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 483-8400.

Dr Marie Myrlande Kernizan is licensed to practice in Illinois (license number 036099858) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326238585.

Contact Information

	Dr Marie Myrlande Kernizan, MD
	9625 S Colfax Ave, Chicago, IL 60617-4900
	(773) 483-8400
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Marie Myrlande Kernizan
Gender	Female
Speciality	General Practice
Location	9625 S Colfax Ave, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326238585
Provider Enumeration Date: 07/25/2007
Last Update Date: 08/03/2007

Medicare PECOS Information:

PECOS PAC ID: 5193881134
Enrollment ID: I20090227000129

Medical Identifiers

Medical identifiers for Dr Marie Myrlande Kernizan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326238585	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	036099858 (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 Marie Myrlande Kernizan allows following entities to bill medicare on her behalf.

Entity Name	Tamid Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689744245 PECOS PAC ID: 4587560594 Enrollment ID: O20031210000657

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 Marie Myrlande Kernizan 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 Marie Myrlande Kernizan, MD 8349 S Baltimore Ave, Chicago, IL 60617-2110 Ph: (773) 978-5291	Dr Marie Myrlande Kernizan, MD 9625 S Colfax Ave, Chicago, IL 60617-4900 Ph: (773) 483-8400

Reviews and Comments

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Dr Marie Myrlande Kernizan, MD - Medicare General Practice in Chicago, IL