Mrs Donna C Czech, - Medicare Nurse Practitioner in Chicago, IL

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Mrs Donna C Czech, is a medicare enrolled "Nurse Practitioner - Family" in Chicago, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rockford Psychiatric Medical Services Sc and her current practice location is 2024 W Sunnyside Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 612-4335.

Mrs Donna C Czech is licensed to practice in Illinois (license number 209003802) 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 1396104501.

Contact Information

Mrs Donna C Czech,
2024 W Sunnyside Ave,
Chicago, IL 60625-1605
(773) 612-4335
Not Available

Map and Direction




Provider's Profile

Full NameMrs Donna C Czech
GenderFemale
SpecialityNurse Practitioner
Experience23 Years
Location2024 W Sunnyside Ave, Chicago, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Donna C Czech attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2001
  NPI Data:
  • NPI Number: 1396104501
  • Provider Enumeration Date: 02/16/2016
  • Last Update Date: 05/20/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3971800566
  • Enrollment ID: I20180823002267

Medical Identifiers

Medical identifiers for Mrs Donna C Czech such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396104501NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209003802 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rockford Psychiatric Medical Services Sc690108951562

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. Mrs Donna C Czech allows following entities to bill medicare on her behalf.
Entity NameVpa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174925663
PECOS PAC ID: 9234041948
Enrollment ID: O20040312001189
Entity NameLutheran Social Services Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063637684
PECOS PAC ID: 2163403551
Enrollment ID: O20050322001114
Entity NameRockford Psychiatric Medical Services Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821391442
PECOS PAC ID: 6901089515
Enrollment ID: O20110318000777

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. Mrs Donna C Czech 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
Mrs Donna C Czech,
2024 W Sunnyside Ave,
Chicago, IL 60625-1605

Ph: (773) 612-4335		Mrs Donna C Czech,
2024 W Sunnyside Ave,
Chicago, IL 60625-1605

Ph: (773) 612-4335

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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