Karolyn M Senica, MD - Medicare Orthopedic Surgery in Springfield, IL

Karolyn M Senica, MD is a medicare enrolled "Orthopaedic Surgery" physician in Springfield, Illinois. She went to Southern Illinois University School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Orthopedic Surgery. She is a member of the group practice Orthopaedic Center Of Il and her current practice location is 1301 S Koke Mill Rd, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 547-9100.

Karolyn M Senica is licensed to practice in Illinois (license number 036092605) 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 1609855485.

Contact Information

Karolyn M Senica, MD
1301 S Koke Mill Rd,
Springfield, IL 62711-9252
(217) 547-9100
(217) 547-9247

Map and Direction




Physician's Profile

Full NameKarolyn M Senica
GenderFemale
SpecialityOrthopedic Surgery
Experience33 Years
Location1301 S Koke Mill Rd, Springfield, 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:
  • Karolyn M Senica attended and graduated from Southern Illinois University School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1609855485
  • Provider Enumeration Date: 01/11/2006
  • Last Update Date: 04/13/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3577532068
  • Enrollment ID: I20041130000257

Medical Identifiers

Medical identifiers for Karolyn M Senica such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609855485NPI-NPPES
200026707OtherILRR MEDICARE
036092605MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 036092605 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Medical CenterSpringfield, ILHospital
St Johns HospitalSpringfield, ILHospital
Abraham Lincoln Memorial HospitalLincoln, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orthopaedic Center Of Il014329962828

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. Karolyn M Senica allows following entities to bill medicare on her behalf.
Entity NameOrthopaedic Center Of Il
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154300572
PECOS PAC ID: 0143299628
Enrollment ID: O20040930001006

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. Karolyn M Senica 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
Karolyn M Senica, MD
Po Box 9469,
Springfield, IL 62791-9469

Ph: (217) 547-9100
Karolyn M Senica, MD
1301 S Koke Mill Rd,
Springfield, IL 62711-9252

Ph: (217) 547-9100

Reviews and Comments


Orthopaedic Surgery Doctors in Springfield, IL

Elliot M Johns, MD
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Practice Location: 301 N 8th St Ste 3a158, Springfield, IL 62701
Phone: 317-697-6136    
Dr. Austin Michael Beason, MD
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Medicare: Medicare Enrolled
Practice Location: 701 N 1st St, Springfield, IL 62702
Phone: 217-545-8000    
Kathleen Kay, MD
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Practice Location: 701 N 1st St, Springfield, IL 62702
Phone: 217-545-8000    Fax: 217-545-1159
John R Fisk, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 301 N 8th St, Springfield, IL 62701
Phone: 217-545-7500    Fax: 217-545-7305
Dr. Piero Capecci, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 800 N 1st St, Springfield, IL 62702
Phone: 217-528-7541    
Jasmin L Mcginty, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 301 N 8th St, Ste Pav3b, Springfield, IL 62701
Phone: 217-545-7500    Fax: 217-545-7305
Christopher Evan Bejcek, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 701 N 1st St, Springfield, IL 62702
Phone: 217-545-8000    Fax: 217-545-1159

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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