Mrs Susanna Antonia Mccolley, MD in Chgo, IL

Mrs Susanna Antonia Mccolley, MD is a medicare enrolled "Pediatrics - Pediatric Pulmonology" physician in Chgo, Illinois. She went to Northwestern University Feinberg Medical School and graduated in 1985 and has 41 years of diverse experience with area of expertise as Pulmonary Disease. She is a member of the group practice Lurie Children's Medical Group Inc. and her current practice location is 2300 Childrens Plaza, #43, Chgo, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 880-8104.

Mrs Susanna Antonia Mccolley is licensed to practice in Illinois (license number 36089384) 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 1962470336.

Contact Information

	Mrs Susanna Antonia Mccolley, MD
	2300 Childrens Plaza, #43, Chgo, IL 60614
	(773) 880-8104
	(773) 880-6300

Map and Direction

Physician's Profile

Full Name	Mrs Susanna Antonia Mccolley
Gender	Female
Speciality	Pulmonary Disease
Experience	41 Years
Location	2300 Childrens Plaza, Chgo, 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:

Mrs Susanna Antonia Mccolley attended and graduated from Northwestern University Feinberg Medical School in 1985

NPI Data:

NPI Number: 1962470336
Provider Enumeration Date: 03/10/2006
Last Update Date: 09/21/2011

Medicare PECOS Information:

PECOS PAC ID: 0547255903
Enrollment ID: I20040416000324

Medical Identifiers

Medical identifiers for Mrs Susanna Antonia Mccolley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962470336	NPI	-	NPPES
036089384	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0214X	Pediatrics - Pediatric Pulmonology	36089384 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lurie Children's Medical Group Inc.	4789597279	109

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. Mrs Susanna Antonia Mccolley allows following entities to bill medicare on her behalf.

Entity Name	Lurie Children's Medical Group Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518064716 PECOS PAC ID: 4789597279 Enrollment ID: O20031111000157

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. Mrs Susanna Antonia Mccolley 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
Mrs Susanna Antonia Mccolley, MD 1137 West Montana, Chgo, IL 60614-2220 Ph: (773) 348-0979	Mrs Susanna Antonia Mccolley, MD 2300 Childrens Plaza, #43, Chgo, IL 60614 Ph: (773) 880-8104

Mrs Susanna Antonia Mccolley, MD - Medicare Pulmonary Disease in Chgo, IL