Dr Kristin Nicole Vercillo, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Libertyville, Illinois. She went to University Of Pittsburgh School Of Medicine and graduated in 2010 and has 15 years of diverse experience with area of expertise as Colorectal Surgery (proctology). She is a member of the group practice Advocate Health And Hospitals Corporation and her current practice location is
890 Garfield Ave, Libertyville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 816-7495.
Dr Kristin Nicole Vercillo is licensed to practice in Illinois (license number 036-137521) 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 1346561123.
Physician's Profile
| Full Name | Dr Kristin Nicole Vercillo |
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| Gender | Female |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 15 Years |
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| Location | 890 Garfield Ave, Libertyville, 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 Kristin Nicole Vercillo attended and graduated from University Of Pittsburgh School Of Medicine in 2010
NPI Data:
- NPI Number: 1346561123
- Provider Enumeration Date: 06/16/2010
- Last Update Date: 02/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 4789982745
- Enrollment ID: I20160830000533
Medical Identifiers
Medical identifiers for Dr Kristin Nicole Vercillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346561123 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 125-057837 (Illinois) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 036-137521 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Advocate Health And Hospitals Corporation | 7810800935 | 2682 |
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 Kristin Nicole Vercillo allows following entities to bill medicare on her behalf.
| Entity Name | Advocate Health And Hospitals Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064 |
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| Entity Name | Surgeons Of Lake County Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417145301
PECOS PAC ID: 4981792587
Enrollment ID: O20071115000266 |
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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 Kristin Nicole Vercillo 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 Kristin Nicole Vercillo, MD
29373 Network Pl,
Chicago, IL 60673-1293
Ph: (847) 390-5900 | Dr Kristin Nicole Vercillo, MD
890 Garfield Ave,
Libertyville, IL 60048-4723
Ph: (847) 816-7495 |
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