Sergey Shushunov, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Saint Anne, Illinois. He graduated from medical school in 1977 and has 48 years of diverse experience with area of expertise as Pediatric Medicine. His current practice location is
135 W Station St, Saint Anne, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 427-1324.
Sergey Shushunov is licensed to practice in Illinois (license number 036070073) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588632681.
Physician's Profile
| Full Name | Sergey Shushunov |
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| Gender | Male |
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| Speciality | Pediatric Medicine |
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| Experience | 48 Years |
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| Location | 135 W Station St, Saint Anne, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Sergey Shushunov graduated from medical school in 1977
NPI Data:
- NPI Number: 1588632681
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 08/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 0941296800
- Enrollment ID: I20041222000417
Medical Identifiers
Medical identifiers for Sergey Shushunov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588632681 | NPI | - | NPPES |
| 07215036 | Other | IL | BCBS |
| IL0104 | Other | IL | JOHN DEERE |
| 036070073 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 036070073 (Illinois) | Secondary |
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 036070073 (Illinois) | Primary |
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. Sergey Shushunov 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 |
Sergey Shushunov, MD 263 Appletree Ct, Buffalo Grove, IL 60089-2405 Ph: (847) 962-1858 | Sergey Shushunov, MD 135 W Station St, Saint Anne, IL 60964-7251 Ph: (815) 427-1324 |
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