Kristina Marie Potanos, MD in Herrin, IL - Medicare General Surgery

Kristina Marie Potanos, MD is a medicare enrolled "Surgery" physician in Herrin, Illinois. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Southern Illinois Medical Services Nfp and her current practice location is 220 S Park Ave Fl 3, Herrin, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 942-2002.

Kristina Marie Potanos is licensed to practice in Illinois (license number 036141342) 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 1134393267.

Contact Information

	Kristina Marie Potanos, MD
	220 S Park Ave Fl 3, Herrin, IL 62948-3602
	(618) 942-2002
	(618) 351-6497

Map and Direction

Physician's Profile

Full Name	Kristina Marie Potanos
Gender	Female
Speciality	General Surgery
Experience	17 Years
Location	220 S Park Ave Fl 3, Herrin, 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:

Kristina Marie Potanos graduated from medical school in 2007

NPI Data:

NPI Number: 1134393267
Provider Enumeration Date: 04/18/2008
Last Update Date: 07/01/2024

Medicare PECOS Information:

PECOS PAC ID: 9830467778
Enrollment ID: I20170616001215

Medical Identifiers

Medical identifiers for Kristina Marie Potanos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134393267	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	036141342 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southern Illinois Hospital Services Dba Herrin Hospital	Herrin, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Illinois Medical Services Nfp	3678677390	252

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. Kristina Marie Potanos allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Medical Services Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595

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. Kristina Marie Potanos 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
Kristina Marie Potanos, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200	Kristina Marie Potanos, MD 220 S Park Ave Fl 3, Herrin, IL 62948-3602 Ph: (618) 942-2002

Reviews and Comments

Surgery Doctors in Herrin, IL

William F. Hays, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3305 Logan Dr, Herrin, IL 62948 Phone: 618-997-4444 Fax: 618-993-1173
Ellie Marie Bentley, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 220 S Park Ave Fl 3, Herrin, IL 62948 Phone: 618-942-2002 Fax: 618-351-6497
Dr. Cyril Kamya, M.D Surgery Medicare: Medicare Enrolled Practice Location: 317 S 14th St Ste 1, Herrin, IL 62948 Phone: 618-988-6171
Medha Suwanawongse, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 121 N 13th St, Herrin, IL 62948 Phone: 618-988-6025 Fax: 618-988-6024
Dr. Robert Judson Brewer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 220 S Park Ave, 3rd Floor, Herrin, IL 62948 Phone: 618-942-2002 Fax: 618-351-6497
Anne Hardy-henry, Surgery Medicare: Accepting Medicare Assignments Practice Location: 317 S 14th St Ste 1, Herrin, IL 62948 Phone: 618-988-6171 Fax: 618-351-6491

Kristina Marie Potanos, MD - Medicare General Surgery in Herrin, IL