Dr Therese Marie Lucietto-sieradzki, MD - Medicare Family Practice in Belvidere, IL

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Dr Therese Marie Lucietto-sieradzki, MD is a medicare enrolled "Family Medicine" physician in Belvidere, Illinois. She went to Northwestern University Feinberg Medical School and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Saint Anthony Medical Center, Beloit Health System Inc and her current practice location is 205 Cadillac Ct Ste 7, Belvidere, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 544-0087.

Dr Therese Marie Lucietto-sieradzki is licensed to practice in Illinois (license number 036102862) 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 1699708636.

Contact Information

Dr Therese Marie Lucietto-sieradzki, MD
205 Cadillac Ct Ste 7,
Belvidere, IL 61008-1733
(815) 544-0087
(815) 544-0088

Map and Direction




Physician's Profile

Full NameDr Therese Marie Lucietto-sieradzki
GenderFemale
SpecialityFamily Practice
Experience26 Years
Location205 Cadillac Ct Ste 7, Belvidere, Illinois
Accepts Medicare AssignmentsYes. 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 Therese Marie Lucietto-sieradzki attended and graduated from Northwestern University Feinberg Medical School in 1998
  NPI Data:
  • NPI Number: 1699708636
  • Provider Enumeration Date: 07/09/2006
  • Last Update Date: 06/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5395706774
  • Enrollment ID: I20041019001296

Medical Identifiers

Medical identifiers for Dr Therese Marie Lucietto-sieradzki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699708636NPI-NPPES
07132017OtherILBLUE CROSS BLUE SHIELD ID
148976OtherILMEDICARE-RIVERBEND ID
201772810001OtherILMEDICAID RURAL HEALTH ID
036102862MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0401XFamily Medicine - Addiction Medicine 036102862 (Illinois)Secondary
207Q00000XFamily Medicine 036102862 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Central Dupage HospitalWinfield, ILHospital
Osf Saint Anthony Medical CenterRockford, ILHospital

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 Therese Marie Lucietto-sieradzki allows following entities to bill medicare on her behalf.
Entity NameSaint Anthony Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942248802
PECOS PAC ID: 5496654006
Enrollment ID: O20040102000555
Entity NameYour Family Doctor Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942219514
PECOS PAC ID: 0446202568
Enrollment ID: O20050217000359
Entity NameRosecrance Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013289446
PECOS PAC ID: 3779656582
Enrollment ID: O20130502000371
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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 Therese Marie Lucietto-sieradzki 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 AddressPractice Location Address
Dr Therese Marie Lucietto-sieradzki, MD
Po Box 298,
Belvidere, IL 61008-0298

Ph: (815) 544-0087		Dr Therese Marie Lucietto-sieradzki, MD
205 Cadillac Ct Ste 7,
Belvidere, IL 61008-1733

Ph: (815) 544-0087

Reviews and Comments


Family Medicine Doctors in Belvidere, IL

Stephanie Ann Gorham Ii, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Henry Luckow Ln, Belvidere, IL 61008
Phone: 779-696-8650    
Dr. Clayton R. Malaker, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 824 Van Buren St, Belvidere, IL 61008
Phone: 815-544-3481    Fax: 815-544-3700
Karen Joyce Englund, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1954 Gateway Center Dr, Belvidere, IL 61008
Phone: 815-547-3780    Fax: 815-547-3781
Neal Kellenberger, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Henry Luckow Ln, Belvidere, IL 61008
Phone: 779-696-8650    Fax: 815-544-4691
Shin Chen, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1003 Logan Ave, Belvidere, IL 61008
Phone: 815-547-1110    Fax: 815-544-1594
Dr. David G Pocock, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2170 Pearl St, Belvidere, IL 61008
Phone: 815-547-5461    
Mary Simmons, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Henry Luckow Ln, Belvidere, IL 61008
Phone: 779-696-8650    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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