Stephen Supple, MD - Medicare Radiology in Kankakee, IL

  1. Home
  2. Radiology
  3. IL
  4. Kankakee
Stephen Supple, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Kankakee, Illinois. His current practice location is 350 N Wall St, Kankakee, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 933-1671.

Stephen Supple is licensed to practice in Illinois (license number 036152897) 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 1225565054.

Contact Information

Stephen Supple, MD
350 N Wall St,
Kankakee, IL 60901-2901
(815) 933-1671
Not Available

Map and Direction




Physician's Profile

Full NameStephen Supple
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location350 N Wall St, Kankakee, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225565054
  • Provider Enumeration Date: 05/11/2017
  • Last Update Date: 12/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0244501740
  • Enrollment ID: I20230701000362

Medical Identifiers

Medical identifiers for Stephen Supple such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225565054NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0204XRadiology - Vascular & Interventional Radiology 036-152897 (Illinois)Secondary
2085R0202XRadiology - Diagnostic Radiology 036152897 (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. Stephen Supple allows following entities to bill medicare on his behalf.
Entity NameCentral Illinois Radiological Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538192828
PECOS PAC ID: 9436061827
Enrollment ID: O20031104000332
Entity NameRiverside Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417061193
PECOS PAC ID: 3274434717
Enrollment ID: O20040116000780

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. Stephen Supple 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
Stephen Supple, MD
111 Oakwood Rd,
East Peoria, IL 61611-1853

Ph: (309) 740-4272		Stephen Supple, MD
350 N Wall St,
Kankakee, IL 60901-2901

Ph: (815) 933-1671

Reviews and Comments


Radiology Doctors in Kankakee, IL

Dr. Howard I Roth, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 350 N Wall St, Kankakee, IL 60901
Phone: 815-933-1671    
Dr. Brian Ruiz De Luzuriaga, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 350 N Wall St, Kankakee, IL 60901
Phone: 815-935-7525    
Ryan J Meiners, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 350 N Wall St, Kankakee, IL 60901
Phone: 815-933-1671    
Dr. Tyler Hall Cornelius, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 350 N Wall St, Kankakee, IL 60901
Phone: 815-933-1671    
Supriya Gupta, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 500 W Court St, Kankakee, IL 60901
Phone: 877-737-4636    
Jeffery P Mendell, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 350 N Wall St, Kankakee, IL 60901
Phone: 815-933-1671    

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.