Angela L Miciura, MD - Medicare Surgery in Crystal Lake, IL

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Angela L Miciura, MD is a medicare enrolled "Surgery" physician in Crystal Lake, Illinois. Her current practice location is 750 E Terra Cotta Ave Ste B, Crystal Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 759-6363.

Angela L Miciura is licensed to practice in Illinois (license number 036.164827) 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 1720582794.

Contact Information

Angela L Miciura, MD
750 E Terra Cotta Ave Ste B,
Crystal Lake, IL 60014-3621
(815) 759-6363
(815) 759-6360

Map and Direction




Physician's Profile

Full NameAngela L Miciura
GenderFemale
SpecialitySurgery
Location750 E Terra Cotta Ave Ste B, Crystal Lake, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720582794
  • Provider Enumeration Date: 03/22/2018
  • Last Update Date: 06/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7719236173
  • Enrollment ID: I20231018000991

Medical Identifiers

Medical identifiers for Angela L Miciura such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720582794NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 036.164827 (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. Angela L Miciura allows following entities to bill medicare on her behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541

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. Angela L Miciura 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
Angela L Miciura, MD
750 E Terra Cotta Ave Ste B,
Crystal Lake, IL 60014-3621

Ph: (815) 759-6363		Angela L Miciura, MD
750 E Terra Cotta Ave Ste B,
Crystal Lake, IL 60014-3621

Ph: (815) 759-6363

Reviews and Comments


Surgery Doctors in Crystal Lake, IL

Bradford C Roberg, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 5714 S State Route 31, Crystal Lake, IL 60014
Phone: 815-356-7000    Fax: 815-356-7513
Dr. Robert Thomas Kessler, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3006 Red Barn Rd, Crystal Lake, IL 60012
Phone: 815-459-4338    

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.