Stacey Sudholt, MD in Chicago, IL - Medicare Obstetrics/gynecology

Stacey Sudholt, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Chicago, Illinois. She went to University Of Missouri, Columbia School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Rush University Medical Center and her current practice location is 1653 W Congress Pkwy, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 942-5000.

Stacey Sudholt is licensed to practice in Illinois (license number 036146747) 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 1841671864.

Contact Information

	Stacey Sudholt, MD
	1653 W Congress Pkwy, Chicago, IL 60612-3833
	(312) 942-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Stacey Sudholt
Gender	Female
Speciality	Obstetrics/gynecology
Experience	9 Years
Location	1653 W Congress Pkwy, Chicago, 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:

Stacey Sudholt attended and graduated from University Of Missouri, Columbia School Of Medicine in 2015

NPI Data:

NPI Number: 1841671864
Provider Enumeration Date: 06/16/2015
Last Update Date: 06/25/2019

Medicare PECOS Information:

PECOS PAC ID: 4486946712
Enrollment ID: I20190905002162

Medical Identifiers

Medical identifiers for Stacey Sudholt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841671864	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	125067108 (Illinois)	Secondary
207V00000X	Obstetrics & Gynecology	036146747 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rush University Medical Center	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rush University Medical Center	5496658874	997

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. Stacey Sudholt allows following entities to bill medicare on her behalf.

Entity Name	Rush University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228

Entity Name	Rush University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407817257 PECOS PAC ID: 4789679366 Enrollment ID: O20040415000186

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. Stacey Sudholt 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
Stacey Sudholt, MD 1653 W Congress Pkwy, Chicago, IL 60612-3833 Ph: (312) 942-5000	Stacey Sudholt, MD 1653 W Congress Pkwy, Chicago, IL 60612-3833 Ph: (312) 942-5000

Reviews and Comments

Obstetrics & Gynecology Doctors in Chicago, IL

Elizabeth Isak, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr Ste 810, Chicago, IL 60611 Phone: 312-926-8811 Fax: 312-926-8855
Malavika Kalyani Perinchery, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc2050, Chicago, IL 60637 Phone: 773-834-0598
Margaret C Schermerhorn, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000
Maria Teresa Tam, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2845 N Sheridan Rd, Ste 902, Chicago, IL 60657 Phone: 773-904-8641 Fax: 872-888-1206
Mr. Clyde Harris Lawson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8234 S. Ashland Avenue, Chicago, IL 60620 Phone: 773-874-1400 Fax: 773-874-9245
Rebekah Osgood, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr Ste 810, Chicago, IL 60611 Phone: 312-926-3627 Fax: 312-587-9802
Dr. Sarah Hoque, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2001 S California Ave, Chicago, IL 60608 Phone: 773-584-6200

Stacey Sudholt, MD - Medicare Obstetrics/gynecology in Chicago, IL