Ms Susan Jean Fairley-holbach, NURSE PRACTITIONER - Medicare Nurse Practitioner in Zion, IL

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Ms Susan Jean Fairley-holbach, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Acute Care" in Zion, Illinois. She graduated from nursing school in 2008 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice City Of Hope Medical Group Of Illinois Pllc and her current practice location is 2520 Elisha Ave, Zion, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 872-4888.

Ms Susan Jean Fairley-holbach is licensed to practice in Illinois (license number 209.007359) 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 1114162864.

Contact Information

Ms Susan Jean Fairley-holbach, NURSE PRACTITIONER
2520 Elisha Ave,
Zion, IL 60099-2676
(847) 872-4888
(847) 872-5716

Map and Direction




Provider's Profile

Full NameMs Susan Jean Fairley-holbach
GenderFemale
SpecialityNurse Practitioner
Experience17 Years
Location2520 Elisha Ave, Zion, 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:
  • Ms Susan Jean Fairley-holbach graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1114162864
  • Provider Enumeration Date: 12/10/2008
  • Last Update Date: 02/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9931245651
  • Enrollment ID: I20091012000204

Medical Identifiers

Medical identifiers for Ms Susan Jean Fairley-holbach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114162864NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 209.007359 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Midwestern Region Med CenterZion, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
City Of Hope Medical Group Of Illinois Pllc3274446596109

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 Jean Fairley-holbach allows following entities to bill medicare on her behalf.
Entity NamePatient First Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548258072
PECOS PAC ID: 3274446596
Enrollment ID: O20031111000788

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 Jean Fairley-holbach 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 Jean Fairley-holbach, NURSE PRACTITIONER
2520 Elisha Ave,
Zion, IL 60099-2676

Ph: (847) 872-6259		Ms Susan Jean Fairley-holbach, NURSE PRACTITIONER
2520 Elisha Ave,
Zion, IL 60099-2676

Ph: (847) 872-4888

Reviews and Comments


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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.