Dr Therese Marie Lucietto-sieradzki, MD in Belvidere, IL

Dr Therese Marie Lucietto-sieradzki, MD is a medicare enrolled "Family Medicine" physician in Belvidere, 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 Family Practice. She is a member of the group practice Saint Anthony Medical Center, Saint Anthony Medical Center and her current practice location is 205 Cadillac Ct Ste 7, Belvidere, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 544-0087.

Dr Therese Marie Lucietto-sieradzki is licensed to practice in Illinois (license number 036102862) 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 1699708636.

Contact Information

	Dr Therese Marie Lucietto-sieradzki, MD
	205 Cadillac Ct Ste 7, Belvidere, IL 61008-1733
	(815) 544-0087
	(815) 544-0088

Map and Direction

Physician's Profile

Full Name	Dr Therese Marie Lucietto-sieradzki
Gender	Female
Speciality	Family Practice
Experience	27 Years
Location	205 Cadillac Ct Ste 7, Belvidere, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Therese Marie Lucietto-sieradzki attended and graduated from Northwestern University Feinberg Medical School in 1998

NPI Data:

NPI Number: 1699708636
Provider Enumeration Date: 07/09/2006
Last Update Date: 06/24/2020

Medicare PECOS Information:

PECOS PAC ID: 5395706774
Enrollment ID: I20041019001296

Medical Identifiers

Medical identifiers for Dr Therese Marie Lucietto-sieradzki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699708636	NPI	-	NPPES
07132017	Other	IL	BLUE CROSS BLUE SHIELD ID
148976	Other	IL	MEDICARE-RIVERBEND ID
201772810001	Other	IL	MEDICAID RURAL HEALTH ID
036102862	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QA0401X	Family Medicine - Addiction Medicine	036102862 (Illinois)	Secondary
207Q00000X	Family Medicine	036102862 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Central Dupage Hospital	Winfield, IL	Hospital
Osf Saint Anthony Medical Center	Rockford, IL	Hospital

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 Therese Marie Lucietto-sieradzki allows following entities to bill medicare on her behalf.

Entity Name	Saint Anthony Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942248802 PECOS PAC ID: 5496654006 Enrollment ID: O20040102000555

Entity Name	Your Family Doctor Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942219514 PECOS PAC ID: 0446202568 Enrollment ID: O20050217000359

Entity Name	Rosecrance Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013289446 PECOS PAC ID: 3779656582 Enrollment ID: O20130502000371

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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 Therese Marie Lucietto-sieradzki 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
Dr Therese Marie Lucietto-sieradzki, MD Po Box 298, Belvidere, IL 61008-0298 Ph: (815) 544-0087	Dr Therese Marie Lucietto-sieradzki, MD 205 Cadillac Ct Ste 7, Belvidere, IL 61008-1733 Ph: (815) 544-0087

Reviews and Comments

Family Medicine Doctors in Belvidere, IL

Stephanie Ann Gorham Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Henry Luckow Ln, Belvidere, IL 61008 Phone: 779-696-8650
Dr. Clayton R. Malaker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 824 Van Buren St, Belvidere, IL 61008 Phone: 815-544-3481 Fax: 815-544-3700
Karen Joyce Englund, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1954 Gateway Center Dr, Belvidere, IL 61008 Phone: 815-547-3780 Fax: 815-547-3781
Neal Kellenberger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Henry Luckow Ln, Belvidere, IL 61008 Phone: 779-696-8650 Fax: 815-544-4691
Shin Chen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1003 Logan Ave, Belvidere, IL 61008 Phone: 815-547-1110 Fax: 815-544-1594
Dr. David G Pocock, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2170 Pearl St, Belvidere, IL 61008 Phone: 815-547-5461
Mary Simmons, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Henry Luckow Ln, Belvidere, IL 61008 Phone: 779-696-8650

Dr Therese Marie Lucietto-sieradzki, MD - Medicare Family Practice in Belvidere, IL