Dr Kathleen Lea Summers, MD, PHD is a medicare enrolled "Hospitalist" physician in Jacksonville, Illinois. She went to Northwestern University Feinberg Medical School and graduated in 1998 and has 27 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Springfield Clinic, Llp and her current practice location is
1600 W Walnut St, Jacksonville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 245-9541.
Dr Kathleen Lea Summers is licensed to practice in Illinois (license number 036103814) 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 1750433611.
Physician's Profile
| Full Name | Dr Kathleen Lea Summers |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 27 Years |
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| Location | 1600 W Walnut St, Jacksonville, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kathleen Lea Summers attended and graduated from Northwestern University Feinberg Medical School in 1998
NPI Data:
- NPI Number: 1750433611
- Provider Enumeration Date: 01/18/2007
- Last Update Date: 07/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 6709873334
- Enrollment ID: I20160210001694
Medical Identifiers
Medical identifiers for Dr Kathleen Lea Summers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750433611 | NPI | - | NPPES |
| L86359 | Medicaid | IL | |
| L97187 | Medicaid | IL | |
| L997718 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 036103814 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 036103814 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Springfield Clinic, Llp | 0547166076 | 655 |
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. Dr Kathleen Lea Summers allows following entities to bill medicare on her behalf.
| Entity Name | Springfield Clinic, Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780638478
PECOS PAC ID: 0547166076
Enrollment ID: O20040331000826 |
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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. Dr Kathleen Lea Summers 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 |
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Dr Kathleen Lea Summers, MD, PHD
Po Box 19248,
Springfield, IL 62794-9248
Ph: (217) 528-7541 | Dr Kathleen Lea Summers, MD, PHD
1600 W Walnut St,
Jacksonville, IL 62650-1136
Ph: (217) 245-9541 |
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