Dr Shirly Susan Samuel, MD in Oak Park, IL - Medicare Internal Medicine

Dr Shirly Susan Samuel, MD is a medicare enrolled "Internal Medicine" physician in Oak Park, Illinois. Her current practice location is 101 Madison St Ste 300, Oak Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 486-2700.

Dr Shirly Susan Samuel is licensed to practice in Illinois (license number 036.165713) 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 1619506508.

Contact Information

	Dr Shirly Susan Samuel, MD
	101 Madison St Ste 300, Oak Park, IL 60302-4210
	(708) 486-2700
	(708) 847-2702

Map and Direction

Physician's Profile

Full Name	Dr Shirly Susan Samuel
Gender	Female
Speciality	Internal Medicine
Location	101 Madison St Ste 300, Oak Park, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619506508
Provider Enumeration Date: 04/03/2020
Last Update Date: 07/24/2023

Medicare PECOS Information:

PECOS PAC ID: 9032565999
Enrollment ID: I20231028000422

Medical Identifiers

Medical identifiers for Dr Shirly Susan Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619506508	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	036.165713 (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 Shirly Susan Samuel allows following entities to bill medicare on her behalf.

Entity Name	Cimpar Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467496224 PECOS PAC ID: 3577578798 Enrollment ID: O20060209000192

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 Shirly Susan Samuel 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 Shirly Susan Samuel, MD 101 Madison St Ste 300, Oak Park, IL 60302-4210 Ph: (708) 486-2700	Dr Shirly Susan Samuel, MD 101 Madison St Ste 300, Oak Park, IL 60302-4210 Ph: (708) 486-2700

Reviews and Comments

Internal Medicine Doctors in Oak Park, IL

Dr. Kristen Eileen Tobin Vealey, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1121 South Blvd, Oak Park, IL 60302 Phone: 708-745-5744 Fax: 708-398-6890
Mr. Daniel B Stroupe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 S Maple Ave Ste 4050, Oak Park, IL 60304 Phone: 708-383-0943 Fax: 708-613-4382
Dr. Ankur Sethi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7035 North Ave, Oak Park, IL 60302 Phone: 708-680-3800
Dr. Terry Lynn Clarbour, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1033 Randolph St, Oak Park, IL 60302 Phone: 708-955-8033 Fax: 708-445-8444
Paul Balter, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 855 Madison St, Oak Park, IL 60302 Phone: 708-386-1000 Fax: 708-386-2394
Steve Michel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 965 Lake St, Oak Park, IL 60301 Phone: 708-386-3000
Max L Harris, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Erie Ct, L700, Oak Park, IL 60302 Phone: 708-763-2536 Fax: 708-383-7655

Dr Shirly Susan Samuel, MD - Medicare Internal Medicine in Oak Park, IL