Samuel Ethan Klein, MD - Medicare Emergency Medicine in Chicago, IL

  1. Home
  2. Emergency Medicine
  3. IL
  4. Chicago
Samuel Ethan Klein, MD is a medicare enrolled "Emergency Medicine" physician in Chicago, Illinois. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Tri-county Emergency Physicians Ltd, Cepamerica Illinois Llp and his current practice location is 1901 W Harrison St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 864-6000.

Samuel Ethan Klein is licensed to practice in Illinois (license number 125070930) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912428129.

Contact Information

Samuel Ethan Klein, MD
1901 W Harrison St,
Chicago, IL 60612-3714
(312) 864-6000
Not Available

Map and Direction




Physician's Profile

Full NameSamuel Ethan Klein
GenderMale
SpecialityEmergency Medicine
Experience7 Years
Location1901 W Harrison St, Chicago, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel Ethan Klein graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1912428129
  • Provider Enumeration Date: 06/28/2017
  • Last Update Date: 06/28/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4082958137
  • Enrollment ID: I20210624001271

Medical Identifiers

Medical identifiers for Samuel Ethan Klein such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912428129NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 125070930 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwest Community Hospital 1Arlington heights, ILHospital
Advocate Good Shepherd HospitalBarrington, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tri-county Emergency Physicians Ltd256741224019
Cepamerica Illinois Llp3274793633417

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. Samuel Ethan Klein allows following entities to bill medicare on his behalf.
Entity NameTri-county Emergency Physicians Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700810470
PECOS PAC ID: 2567412240
Enrollment ID: O20050131000438
Entity NameCepamerica Illinois Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912283110
PECOS PAC ID: 3274793633
Enrollment ID: O20120322000587
Entity NameCrystal Lake Immediate Care Physicians Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538517198
PECOS PAC ID: 2961783139
Enrollment ID: O20161229001875
Entity NameAlteon Health Illinois Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962067165
PECOS PAC ID: 1456686278
Enrollment ID: O20190716000871

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. Samuel Ethan Klein 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
Samuel Ethan Klein, MD
1901 W Harrison St,
Chicago, IL 60612-3714

Ph: () -		Samuel Ethan Klein, MD
1901 W Harrison St,
Chicago, IL 60612-3714

Ph: (312) 864-6000

Reviews and Comments


Emergency Medicine Doctors in Chicago, IL

Jacqueline Alexandria Khorasanee, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 645 N Michigan Ave, Suite 1058a, Chicago, IL 60611
Phone: 312-503-4756    
Dr. Robert R Turelli Jr., MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 836 W Wellington Ave, Chicago, IL 60657
Phone: 773-296-5878    Fax: 773-296-7818
Dr. Kristen Grabow Moore, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 211 E Ontario St, Suite 300, Chicago, IL 60611
Phone: 312-694-7000    
Tomasz Piotr Lis, MD
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 2233 W Division St, Chicago, IL 60622
Phone: 312-770-2000    
Dr. Gillian E Munitz, M.D.
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 520 W Huron St, Unit 413, Chicago, IL 60654
Phone: 312-404-0200    
Michael Anthony Hoks Jr.,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7435 W Talcott Ave, Resurrection Em Residency, Chicago, IL 60631
Phone: 773-792-7321    
Dr. Ro Gonsalves, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2320 E 93rd St, Chicago, IL 60617
Phone: 773-967-2000    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.