Dr Samuel Stephens Kingsley, MD in Chicago, IL

Dr Samuel Stephens Kingsley, MD is a medicare enrolled "Surgery" physician in Chicago, Illinois. He went to University Of Chicago, Pritzker School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Advocate Health And Hospitals Corporation and his current practice location is 836 W Wellington Ave Rm 4813cc, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 296-5073.

Dr Samuel Stephens Kingsley is licensed to practice in Illinois (license number 036.122553) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477851673.

Contact Information

	Dr Samuel Stephens Kingsley, MD
	836 W Wellington Ave Rm 4813cc, Chicago, IL 60657-5147
	(773) 296-5073
	(773) 296-7199

Map and Direction

Physician's Profile

Full Name	Dr Samuel Stephens Kingsley
Gender	Male
Speciality	General Surgery
Experience	19 Years
Location	836 W Wellington Ave Rm 4813cc, Chicago, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Samuel Stephens Kingsley attended and graduated from University Of Chicago, Pritzker School Of Medicine in 2005

NPI Data:

NPI Number: 1477851673
Provider Enumeration Date: 03/11/2011
Last Update Date: 05/26/2022

Medicare PECOS Information:

PECOS PAC ID: 0648496885
Enrollment ID: I20140724002173

Medical Identifiers

Medical identifiers for Dr Samuel Stephens Kingsley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477851673	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	036.122553 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Advocate Illinois Masonic Medical Center	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advocate Health And Hospitals Corporation	7810800935	2484

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 Samuel Stephens Kingsley allows following entities to bill medicare on his behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

Entity Name	Cook County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747

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 Samuel Stephens Kingsley 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 Samuel Stephens Kingsley, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900	Dr Samuel Stephens Kingsley, MD 836 W Wellington Ave Rm 4813cc, Chicago, IL 60657-5147 Ph: (773) 296-5073

Reviews and Comments

Surgery Doctors in Chicago, IL

Raelene D Kennedy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 810, Chicago, IL 60612 Phone: 312-942-5500
Douglas Wiseman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7447 W Talcott Ave Ste 427, Chicago, IL 60631 Phone: 773-990-4024
Dr. Bobiejo Ava Ferguson Bryan, MD Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6040, Chicago, IL 60637 Phone: 773-702-1000 Fax: 773-702-2140
Adam Lam, MD Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6040, Chicago, IL 60637 Phone: 773-702-1000 Fax: 773-702-2140
Kabeer Rajan Masih, MD Surgery Medicare: Medicare Enrolled Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000
Jay Prystowsky, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797
Heron Rodriguez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 675 N Saint Clair St, Northwestern Memorial Hospialt Galter 19-100, Chicago, IL 60611 Phone: 312-695-2714

Dr Samuel Stephens Kingsley, MD - Medicare General Surgery in Chicago, IL