Simone Crivellaro, MD in Chicago, IL

Simone Crivellaro, MD is a medicare enrolled "Urology" physician in Chicago, Illinois. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Urology. He is a member of the group practice The Board Of Trustees Of The University Of Illinois, Mount Sinai Community Foundation and his current practice location is 820 S Wood St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 996-9331.

Simone Crivellaro is licensed to practice in Illinois (license number 113000068) 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 1730382201.

Contact Information

	Simone Crivellaro, MD
	820 S Wood St, Chicago, IL 60612-4325
	(312) 996-9331
	Not Available

Map and Direction

Physician's Profile

Full Name	Simone Crivellaro
Gender	Male
Speciality	Urology
Experience	23 Years
Location	820 S Wood St, Chicago, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Simone Crivellaro graduated from medical school in 2001

NPI Data:

NPI Number: 1730382201
Provider Enumeration Date: 06/11/2007
Last Update Date: 11/14/2018

Medicare PECOS Information:

PECOS PAC ID: 7719070374
Enrollment ID: I20140617000527

Medical Identifiers

Medical identifiers for Simone Crivellaro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730382201	NPI	-	NPPES
AETNA	Other	NC	9286104
5907682	Medicaid	NC
147F0	Other	NC	BCBS
Q73007	Medicaid	SC
202774	Other	NC	MEDCOST
812200	Other	NC	PARTNERS
3810009657	Medicaid	WV
1730382201	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	2007-00873 (North Carolina)	Secondary
208800000X	Urology	113000068 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Illinois Hospital	Chicago, IL	Hospital
Mt Sinai Hospital Medical Center	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Board Of Trustees Of The University Of Illinois	3072422716	923
Mount Sinai Community Foundation	5991600405	207

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. Simone Crivellaro allows following entities to bill medicare on his behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134118649 PECOS PAC ID: 3072422716 Enrollment ID: O20031201000484

Entity Name	Mount Sinai Community Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032

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. Simone Crivellaro 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
Simone Crivellaro, MD 820 S Wood St, Chicago, IL 60612-4325 Ph: (312) 996-9331	Simone Crivellaro, MD 820 S Wood St, Chicago, IL 60612-4325 Ph: (312) 996-9331

Reviews and Comments

Urology Doctors in Chicago, IL

Dr. Itay Sagy, M.D Urology Medicare: Not Enrolled in Medicare Practice Location: 5758 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1860
Dr. Dylan Samuel Isaacson, MD, MPH Urology Medicare: Medicare Enrolled Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-694-6083
Fadi A Habib, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5600 W Addison St, Suite 305, Chicago, IL 60634 Phone: 773-725-0760 Fax: 773-725-3499
Dr. Solomon Hayon, MD Urology Medicare: Medicare Enrolled Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-2000
Dr. Michael Ryan Abern, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 820 S Wood St # Mc955, Suite 515, Chicago, IL 60612 Phone: 312-996-9330
Riccardo Autorino, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 970, Chicago, IL 60612 Phone: 312-563-3447
Samuel John Ohlander, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1009 S Wood St, Chicago, IL 60612 Phone: 312-996-2779

Simone Crivellaro, MD - Medicare Urology in Chicago, IL