Ms Susan A Mack, APRN-FPA - Medicare Nurse Practitioner in Des Plaines, IL

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Ms Susan A Mack, APRN-FPA is a medicare enrolled "Nurse Practitioner - Family" in Des Plaines, Illinois. Her current practice location is 514 Teela Ln, Des Plaines, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 692-6000.

Ms Susan A Mack is licensed to practice in Illinois (license number 277000186) 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 1003808270.

Contact Information

Ms Susan A Mack, APRN-FPA
514 Teela Ln,
Des Plaines, IL 60016-1230
(847) 692-6000
(847) 692-6112

Map and Direction




Provider's Profile

Full NameMs Susan A Mack
GenderFemale
SpecialityNurse Practitioner - Family
Location514 Teela Ln, Des Plaines, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003808270
  • Provider Enumeration Date: 08/16/2005
  • Last Update Date: 12/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6608841879
  • Enrollment ID: I20040831001008

Medical Identifiers

Medical identifiers for Ms Susan A Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003808270NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 277000186 (Illinois)Primary
363L00000XNurse Practitioner 209002933 (Illinois)Secondary

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. Ms Susan A Mack allows following entities to bill medicare on her behalf.
Entity NameSignify Health Medical Associates PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190507001451

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. Ms Susan A Mack 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
Ms Susan A Mack, APRN-FPA
514 Teela Ln,
Des Plaines, IL 60016-1230

Ph: (847) 692-6000		Ms Susan A Mack, APRN-FPA
514 Teela Ln,
Des Plaines, IL 60016-1230

Ph: (847) 692-6000

Reviews and Comments


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Purvi Gabhawala, AGNP
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Christina Valdivia, APRN
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Practice Location: 900 Rand Rd Ste 120, Des Plaines, IL 60016
Phone: 312-767-3244    Fax: 708-795-9598

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.