Mr Rafael Suello Plenos Iii, APRN, CNP in Dekalb, IL

Mr Rafael Suello Plenos Iii, APRN, CNP is a medicare enrolled "Nurse Practitioner" in Dekalb, Illinois. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Midwest Pulmonary Critical Care And Sleep Consultants Llc and his current practice location is 1 Kish Hospital Dr, Dekalb, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 766-7334.

Mr Rafael Suello Plenos Iii is licensed to practice in Illinois (license number 209021145) 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 1437753431.

Contact Information

	Mr Rafael Suello Plenos Iii, APRN, CNP
	1 Kish Hospital Dr, Dekalb, IL 60115-9602
	(815) 766-7334
	(815) 766-9768

Map and Direction

Provider's Profile

Full Name	Mr Rafael Suello Plenos Iii
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	1 Kish Hospital Dr, Dekalb, Illinois
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:

Mr Rafael Suello Plenos Iii graduated from nursing school in 2013

NPI Data:

NPI Number: 1437753431
Provider Enumeration Date: 11/30/2020
Last Update Date: 08/25/2022

Medicare PECOS Information:

PECOS PAC ID: 7618377987
Enrollment ID: I20210609000517

Medical Identifiers

Medical identifiers for Mr Rafael Suello Plenos Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437753431	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209021145 (Illinois)	Primary
363LF0000X	Nurse Practitioner - Family	209021145 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Advocate Christ Hospital & Medical Center	Oak lawn, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midwest Pulmonary Critical Care And Sleep Consultants Llc	5799048526	34

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. Mr Rafael Suello Plenos Iii allows following entities to bill medicare on his behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

Entity Name	Midwest Pulmonary Critical Care & Sleep Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467951095 PECOS PAC ID: 5799048526 Enrollment ID: O20180514000039

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. Mr Rafael Suello Plenos Iii 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
Mr Rafael Suello Plenos Iii, APRN, CNP 1 Kish Hospital Dr, Dekalb, IL 60115-9602 Ph: (815) 766-7334	Mr Rafael Suello Plenos Iii, APRN, CNP 1 Kish Hospital Dr, Dekalb, IL 60115-9602 Ph: (815) 766-7334

Reviews and Comments

Nurse Practitioner Nurses in Dekalb, IL

Hillary J Taylor, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-501-1142
Kris Mc Clure, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 518 Lucinda Ave, University Health Services, Niu, Dekalb, IL 60115 Phone: 815-753-1311 Fax: 815-753-9599
Cassandra Katzenberger, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-748-2972 Fax: 815-748-2978
Laurie A Knoke, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Cari Ct, Dekalb, IL 60115 Phone: 815-758-2976
Lisa Roxworthy, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-766-7334 Fax: 815-766-9768
Elizabeth Ann Kuhn, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 630-936-4029 Fax: 630-936-4032
Mrs. Jennifer Marie Junck, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3100 Sycamore Rd, Suite 1024, Dekalb, IL 60115 Phone: 815-752-3253 Fax: 815-752-3277

Mr Rafael Suello Plenos Iii, APRN, CNP - Medicare Nurse Practitioner in Dekalb, IL