Kelly Coderre, - Medicare Physician Assistant in Chicago, IL

Kelly Coderre, is a medicare enrolled "Physician Assistant" in Chicago, Illinois. Her current practice location is 1500 S Fairfield Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 542-2000.

Kelly Coderre is licensed to practice in Illinois (license number 085.006717) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235601113.

Contact Information

Kelly Coderre,
1500 S Fairfield Ave,
Chicago, IL 60608-1782
(773) 542-2000
Not Available

Map and Direction




Provider's Profile

Full NameKelly Coderre
GenderFemale
SpecialityPhysician Assistant
Location1500 S Fairfield Ave, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235601113
  • Provider Enumeration Date: 12/17/2018
  • Last Update Date: 12/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4688911902
  • Enrollment ID: I20190124002229

Medical Identifiers

Medical identifiers for Kelly Coderre such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235601113NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 085.006717 (Illinois)Primary

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. Kelly Coderre 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
Kelly Coderre,
820 Bruce Ave,
Flossmoor, IL 60422-1250

Ph: (708) 612-6036
Kelly Coderre,
1500 S Fairfield Ave,
Chicago, IL 60608-1782

Ph: (773) 542-2000

Reviews and Comments


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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).

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