Sergey Shushunov, MD - Medicare Pediatrics in Saint Anne, IL

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Sergey Shushunov, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Saint Anne, Illinois. His current practice location is 135 W Station St, Saint Anne, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 427-1324.

Sergey Shushunov is licensed to practice in Illinois (license number 036070073) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1588632681.

Contact Information

Sergey Shushunov, MD
135 W Station St,
Saint Anne, IL 60964-7251
(815) 427-1324
Not Available

Map and Direction




Physician's Profile

Full NameSergey Shushunov
GenderMale
SpecialityPediatrics - Pediatric Critical Care Medicine
Location135 W Station St, Saint Anne, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588632681
  • Provider Enumeration Date: 03/14/2006
  • Last Update Date: 08/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941296800
  • Enrollment ID: I20040424000145

Medical Identifiers

Medical identifiers for Sergey Shushunov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588632681NPI-NPPES
07215036OtherILBCBS
IL0104OtherILJOHN DEERE
036070073MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 036070073 (Illinois)Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine 036070073 (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. Sergey Shushunov allows following entities to bill medicare on his behalf.
Entity NameInforme Healthcare Il Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639790678
PECOS PAC ID: 8123448784
Enrollment ID: O20231031001630

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. Sergey Shushunov 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
Sergey Shushunov, MD
263 Appletree Ct,
Buffalo Grove, IL 60089-2405

Ph: (847) 962-1858		Sergey Shushunov, MD
135 W Station St,
Saint Anne, IL 60964-7251

Ph: (815) 427-1324

Reviews and Comments


Pediatrics Doctors in Saint Anne, IL


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.