Dr Susan G Bolton, MD in Champaign, IL

Dr Susan G Bolton, MD is a medicare enrolled "Pediatrics" physician in Champaign, Illinois. Her current practice location is 1801 W Windsor Rd, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 366-1257.

Dr Susan G Bolton is licensed to practice in Illinois (license number 036-082604) 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 1336156884.

Contact Information

	Dr Susan G Bolton, MD
	1801 W Windsor Rd, Champaign, IL 61822-6217
	(217) 366-1257
	(217) 366-6110

Map and Direction

Physician's Profile

Full Name	Dr Susan G Bolton
Gender	Female
Speciality	Pediatrics
Location	1801 W Windsor Rd, Champaign, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336156884
Provider Enumeration Date: 08/01/2006
Last Update Date: 01/05/2022

Medicare PECOS Information:

PECOS PAC ID: 2163436882
Enrollment ID: I20060202000269

Medical Identifiers

Medical identifiers for Dr Susan G Bolton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336156884	NPI	-	NPPES
036082604 1	Medicaid	IL
279500	Other	IL	MEDICARE GROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036-082604 (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 Susan G Bolton allows following entities to bill medicare on her behalf.

Entity Name	Christie Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20031103000332

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 Susan G Bolton 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 Susan G Bolton, MD 101 W University Ave, Champaign, IL 61820-3909 Ph: (217) 366-1326	Dr Susan G Bolton, MD 1801 W Windsor Rd, Champaign, IL 61822-6217 Ph: (217) 366-1257

Reviews and Comments

Pediatrics Doctors in Champaign, IL

Joseph J Keeley, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1801 Windsor Rd, Champaign, IL 61822 Phone: 217-366-1257 Fax: 217-366-6106
Myisha Z. Porter, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 Windsor Rd, Champaign, IL 61822 Phone: 217-366-1257
Haley E Eastin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1701 W. Curtis Rd., Champaign, IL 61822 Phone: 217-365-6202 Fax: 217-326-0188
Dr. Laura L Edwards, Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 W Windsor Rd, Champaign, IL 61822 Phone: 217-366-1257
Mark S Musselman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1701 W. Curtis Road, Pediatrics, Champaign, IL 61822 Phone: 217-365-6202 Fax: 217-326-1234
Prudence Hartwell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-6202

Dr Susan G Bolton, MD - Medicare Pediatrics in Champaign, IL