Lacey Kruse, MD in Chicago, IL - Medicare Dermatology

Lacey Kruse, MD is a medicare enrolled "Dermatology" physician in Chicago, Illinois. Her current practice location is 225 E Chicago Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 909-9130.

Lacey Kruse is licensed to practice in Illinois (license number 036.135447) 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 1366670382.

Contact Information

	Lacey Kruse, MD
	225 E Chicago Ave, Chicago, IL 60611-2991
	(312) 909-9130
	(217) 545-7438

Map and Direction

Physician's Profile

Full Name	Lacey Kruse
Gender	Female
Speciality	Dermatology
Location	225 E Chicago Ave, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366670382
Provider Enumeration Date: 06/29/2009
Last Update Date: 10/15/2024

Medicare PECOS Information:

PECOS PAC ID: 8729355094
Enrollment ID: I20170517002439

Medical Identifiers

Medical identifiers for Lacey Kruse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366670382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	036.135447 (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. Lacey Kruse allows following entities to bill medicare on her behalf.

Entity Name	Pediatric Faculty Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518064716 PECOS PAC ID: 4789597279 Enrollment ID: O20031111000157

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. Lacey Kruse 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
Lacey Kruse, MD Ann & Robert H. Lurie Children's Hospital Of Chicago, 225 E Chicago Ave., Chicago, IL 60611 Ph: (312) 227-4000	Lacey Kruse, MD 225 E Chicago Ave, Chicago, IL 60611-2991 Ph: (312) 909-9130

Reviews and Comments

Dermatology Doctors in Chicago, IL

Edward B Li, MD, PHD Dermatology Medicare: Medicare Enrolled Practice Location: 676 N Saint Clair St Ste 1600, Chicago, IL 60611 Phone: 312-695-8106
Joaquin Carlos Brieva, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St, Suite 1600, Chicago, IL 60611 Phone: 312-695-8106 Fax: 312-695-0537
Dr. Kevin Scott Pinski, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 150 N Michigan Ave Ste 1200, Chicago, IL 60601 Phone: 312-263-4625 Fax: 312-263-5029
Dr. James A Ida Jr., MD Dermatology Medicare: Medicare Enrolled Practice Location: 1663 W Carmen Ave, Chicago, IL 60640 Phone: 773-293-7500
Erin M Ibler, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2148 N Damen Ave, Chicago, IL 60647 Phone: 773-938-8128 Fax: 773-938-8126
Dr. Stephen L Carter, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2148 N Damen Ave, Chicago, IL 60647 Phone: 773-938-8128 Fax: 773-938-8126
Dr. Todd Andrew Johnson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1765 N Elston Ave, Suite 110, Chicago, IL 60642 Phone: 773-276-1100 Fax: 773-276-1102

Lacey Kruse, MD - Medicare Dermatology in Chicago, IL