Dr Stacey L Carpenter, DO - Medicare Family Practice in Countryside, IL

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Dr Stacey L Carpenter, DO is a medicare enrolled "Family Medicine" physician in Countryside, Illinois. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2009 and has 16 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Premise Health Of Illinois Medical Pc and her current practice location is 6150 Joliet Rd, Countryside, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 485-2273.

Dr Stacey L Carpenter is licensed to practice in Illinois (license number 036134169) 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 1770819708.

Contact Information

Dr Stacey L Carpenter, DO
6150 Joliet Rd,
Countryside, IL 60525-3956
(708) 485-2273
(708) 352-0845

Map and Direction




Physician's Profile

Full NameDr Stacey L Carpenter
GenderFemale
SpecialityFamily Practice
Experience16 Years
Location6150 Joliet Rd, Countryside, Illinois
Accepts Medicare AssignmentsYes. 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 Stacey L Carpenter attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2009
  NPI Data:
  • NPI Number: 1770819708
  • Provider Enumeration Date: 10/27/2009
  • Last Update Date: 01/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9638329386
  • Enrollment ID: I20140121001438

Medical Identifiers

Medical identifiers for Dr Stacey L Carpenter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770819708NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036134169 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Christ Hospital & Medical CenterOak lawn, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premise Health Of Illinois Medical Pc397176476227

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 Stacey L Carpenter allows following entities to bill medicare on her behalf.
Entity NamePremise Health Of Illinois Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427366921
PECOS PAC ID: 3971764762
Enrollment ID: O20120423000619

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 Stacey L Carpenter 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 AddressPractice Location Address
Dr Stacey L Carpenter, DO
6150 Joliet Rd,
Countryside, IL 60525-3956

Ph: (708) 485-2273		Dr Stacey L Carpenter, DO
6150 Joliet Rd,
Countryside, IL 60525-3956

Ph: (708) 485-2273

Reviews and Comments


Family Medicine Doctors in Countryside, IL

Chandra Sharma, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 6335 Joliet Rd Ste 104, Countryside, IL 60525
Phone: 847-873-9367    Fax: 224-246-8127
Dr. Michael David Santilli, DO
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 7345 Prescott Ln, Countryside, IL 60525
Phone: 708-354-9405    Fax: 708-354-9140
Dr. Christopher Brenner, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 9910 W 55th St, Countryside, IL 60525
Phone: 708-352-6166    Fax: 708-352-3864

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.