Kathy G Supple, in Westchester, IL - Medicare Nurse Practitioner

Kathy G Supple, is a medicare enrolled "Nurse Practitioner - Acute Care" in Westchester, Illinois. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Adventist Health Partners,inc. and her current practice location is 2434 Wolf Rd, Westchester, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 562-5430.

Kathy G Supple is licensed to practice in Illinois (license number 209003663) 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 1134396211.

Contact Information

	Kathy G Supple,
	2434 Wolf Rd, Westchester, IL 60154-5634
	(708) 562-5430
	Not Available

Map and Direction

Provider's Profile

Full Name	Kathy G Supple
Gender	Female
Speciality	Nurse Practitioner
Experience	33 Years
Location	2434 Wolf Rd, Westchester, 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:

Kathy G Supple attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1991

NPI Data:

NPI Number: 1134396211
Provider Enumeration Date: 05/08/2008
Last Update Date: 03/24/2021

Medicare PECOS Information:

PECOS PAC ID: 4486724218
Enrollment ID: I20080611000817

Medical Identifiers

Medical identifiers for Kathy G Supple such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134396211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	209003663 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Hinsdale Hospital	Hinsdale, IL	Hospital
Adventist La Grange Memorial Hospital	La grange, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Adventist Health Partners,inc.	0244135762	205

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. Kathy G Supple allows following entities to bill medicare on her behalf.

Entity Name	Adventist Health Partners,inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033490651 PECOS PAC ID: 0244135762 Enrollment ID: O20040127000064

Entity Name	Tdk Family Medical Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508995762 PECOS PAC ID: 4688657505 Enrollment ID: O20040611000136

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. Kathy G 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 Address	Practice Location Address
Kathy G Supple, 2434 Wolf Rd, Westchester, IL 60154-5634 Ph: () -	Kathy G Supple, 2434 Wolf Rd, Westchester, IL 60154-5634 Ph: (708) 562-5430

Reviews and Comments

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Kathy G Supple, - Medicare Nurse Practitioner in Westchester, IL