Dr Tequilla Stanciel, MD in Evanston, IL - Medicare Internal Medicine

Dr Tequilla Stanciel, MD is a medicare enrolled "Internal Medicine" physician in Evanston, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2018 and has 6 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Cook County and her current practice location is 2650 Ridge Ave Ste 1304, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 570-2700.

Dr Tequilla Stanciel is licensed to practice in Illinois (license number 125.071778) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922584762.

Contact Information

	Dr Tequilla Stanciel, MD
	2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700
	(847) 570-2700
	(847) 570-2416

Map and Direction

Physician's Profile

Full Name	Dr Tequilla Stanciel
Gender	Female
Speciality	Internal Medicine
Experience	6 Years
Location	2650 Ridge Ave Ste 1304, Evanston, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Tequilla Stanciel attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2018

NPI Data:

NPI Number: 1922584762
Provider Enumeration Date: 07/16/2018
Last Update Date: 07/16/2018

Medicare PECOS Information:

PECOS PAC ID: 7113275561
Enrollment ID: I20210621001706

Medical Identifiers

Medical identifiers for Dr Tequilla Stanciel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922584762	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	125.071778 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
John H Stroger Jr Hospital	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cook County	2860398088	645

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 Tequilla Stanciel allows following entities to bill medicare on her behalf.

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

Entity Name	The Black House Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457011306 PECOS PAC ID: 1052704590 Enrollment ID: O20220207000402

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 Tequilla Stanciel 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 Tequilla Stanciel, MD 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 Ph: (773) 702-1150	Dr Tequilla Stanciel, MD 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 Ph: (847) 570-2700

Reviews and Comments

Internal Medicine Doctors in Evanston, IL

James Francis Kelly, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave., Im Hospitalists Ste 4206, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108
Ashley Rachel Mohan, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Im/icu Hospitalists, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108
Andie Kwon, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-570-2700 Fax: 847-570-2822
Adela Kola, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave Ste 4210, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108
Matthew R. Sherwood, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Division Of Internal Medicine Rm 4324, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5128
Dipika Oberoi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2700
Neal N. Dodia, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3171

Dr Tequilla Stanciel, MD - Medicare Internal Medicine in Evanston, IL