Susan Provow, MD - Medicare Family Medicine in Rock Falls, IL

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Susan Provow, MD is a medicare enrolled "Family Medicine" physician in Rock Falls, Illinois. Her current practice location is 100 W 1st St, Rock Falls, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 625-4790.

Susan Provow is licensed to practice in Illinois (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861580128.

Contact Information

Susan Provow, MD
100 W 1st St,
Rock Falls, IL 61071-1269
(815) 625-4790
Not Available

Map and Direction




Physician's Profile

Full NameSusan Provow
GenderFemale
SpecialityFamily Medicine
Location100 W 1st St, Rock Falls, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861580128
  • Provider Enumeration Date: 10/11/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5890803928
  • Enrollment ID: I20101019000956

Medical Identifiers

Medical identifiers for Susan Provow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861580128NPI-NPPES
011542OtherILHEALTH ALLIANCE MEDICAL
9815737OtherILBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

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

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. Susan Provow allows following entities to bill medicare on her behalf.
Entity NameCgh Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902854623
PECOS PAC ID: 6103723267
Enrollment ID: O20031217000054

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. Susan Provow 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
Susan Provow, MD
101 E Miller Rd,
Sterling, IL 61081-1252

Ph: (815) 625-4790		Susan Provow, MD
100 W 1st St,
Rock Falls, IL 61071-1269

Ph: (815) 625-4790

Reviews and Comments


Family Medicine Doctors in Rock Falls, IL

Parveen K Varma, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1300 W 2nd St, Rock Falls, IL 61071
Phone: 815-626-2230    
Dr. Denice Smith, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1300 W 2nd St, Rock Falls, IL 61071
Phone: 815-626-2230    Fax: 815-626-2231
Richard Mark Styczynski, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1300 W 2nd St, Rock Falls, IL 61071
Phone: 815-626-2230    

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.