Family Medicine Specialists Of Round Lake Incorporated S C - Medicare Primary Care in Round Lake Beach, IL

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Family Medicine Specialists Of Round Lake Incorporated S C is a medicare enrolled primary clinic (Family Medicine) in Round Lake Beach, Illinois. The current practice location for Family Medicine Specialists Of Round Lake Incorporated S C is 2680 Route 83, Round Lake Beach, Illinois. For appointments, you can reach them via phone at (224) 372-7780. The mailing address for Family Medicine Specialists Of Round Lake Incorporated S C is Po Box 6037, Wauconda, Illinois and phone number is (847) 526-2151.

Family Medicine Specialists Of Round Lake Incorporated S C is licensed to practice in Illinois (license number 036083207). The clinic also participates in the medicare program and its NPI number is 1740515253. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (224) 372-7780.

Contact Information

Family Medicine Specialists Of Round Lake Incorporated S C
2680 Route 83
Round Lake Beach
IL 60073
(224) 372-7780
(224) 372-7782

Map and Direction


Primary Care Clinic Profile

Full NameFamily Medicine Specialists Of Round Lake Incorporated S C
SpecialityFamily Medicine
Location2680 Route 83, Round Lake Beach, Illinois
Authorized Official Name and PositionJason Bellucci (CFO)
Authorized Official Contact8475262151
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Family Medicine Specialists Of Round Lake Incorporated S C
Po Box 6037
Wauconda
IL 60084-2452

Ph: (847) 526-2151		Family Medicine Specialists Of Round Lake Incorporated S C
2680 Route 83
Round Lake Beach
IL 60073

Ph: (224) 372-7780

NPI Details:

NPI Number1740515253
Provider Enumeration Date10/16/2009
Last Update Date10/09/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6002957511
Medicare Enrollment IDO20100106000383

Medical Identifiers

Medical identifiers for Family Medicine Specialists Of Round Lake Incorporated S C such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740515253NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036083207 (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. Family Medicine Specialists Of Round Lake Incorporated S C acts as a billing entity for following providers:
Provider NameDavid J Alengo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356335996
PECOS PAC ID: 5193711323
Enrollment ID: I20040422001572
Provider NameJennifer M Bellucci Jackson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689669293
PECOS PAC ID: 5698817542
Enrollment ID: I20100115000334
Provider NameKerry Jean Ehlert-donovan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720373731
PECOS PAC ID: 7416129150
Enrollment ID: I20110930000574
Provider NameKristine M Redmond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023424389
PECOS PAC ID: 5890915649
Enrollment ID: I20140930001899
Provider NameRichard J.a. Villaceran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245649862
PECOS PAC ID: 9931320470
Enrollment ID: I20141024002083
Provider NameRebecca A Lambo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144626995
PECOS PAC ID: 8820310204
Enrollment ID: I20141215001516
Provider NameMichele R Frese
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700271459
PECOS PAC ID: 7113247024
Enrollment ID: I20150515002001
Provider NameMallory J Iverson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366818692
PECOS PAC ID: 4880904168
Enrollment ID: I20151117002365
Provider NameNicole I Wagner
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1194968602
PECOS PAC ID: 9133418577
Enrollment ID: I20160525000945
Provider NameNneka Osude
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295198661
PECOS PAC ID: 7719270081
Enrollment ID: I20160725000508
Provider NameShency Varughese
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598207375
PECOS PAC ID: 4284901836
Enrollment ID: I20170601002266
Provider NameMichelle Naurecki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841718087
PECOS PAC ID: 4183999287
Enrollment ID: I20170928002817
Provider NameErika Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508216540
PECOS PAC ID: 9335405018
Enrollment ID: I20171113003605
Provider NameCorrie Mcmahon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104423094
PECOS PAC ID: 4587074018
Enrollment ID: I20201111002419
Provider NameMarguerite Ann Kuthe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144897547
PECOS PAC ID: 5799173399
Enrollment ID: I20211101003089
Provider NameDavinder K Dhillon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780331033
PECOS PAC ID: 9830578152
Enrollment ID: I20220616001771
Provider NameKatarina Nicole Treiber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477132728
PECOS PAC ID: 9032514849
Enrollment ID: I20220826000840
Provider NameRose Henry Mariette Eboh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841948932
PECOS PAC ID: 9032595921
Enrollment ID: I20220929002544
Provider NameHazel Acacio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205471679
PECOS PAC ID: 5294160016
Enrollment ID: I20221212001650
Provider NameMelissa Pinney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407569627
PECOS PAC ID: 9133591225
Enrollment ID: I20230220000615
Provider NameJuan Armando Chavez Duarte
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215642368
PECOS PAC ID: 4486099926
Enrollment ID: I20240223003348
Provider NameIleana A Schropp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043085301
PECOS PAC ID: 2466890983
Enrollment ID: I20240403002006
Provider NameAmanda Anne Lefeve
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649035833
PECOS PAC ID: 1759720592
Enrollment ID: I20240412003155
Provider NameMegan Elizabeth Copeland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497587851
PECOS PAC ID: 2163962499
Enrollment ID: I20240912002595
Provider NameMichael Mosquera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487460952
PECOS PAC ID: 1456872100
Enrollment ID: I20250311000033

Reviews and Comments


Family Medicine in Round Lake Beach, IL

Ermil Wagner, D.o. P.c.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2 E Rollins Rd, Suite 103, Round Lake Beach, IL 60073
Phone: 847-740-4300    
Lake County Acute Care, Llp
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2 E Rollins Rd, Round Lake Beach, IL 60073
Phone: 847-740-2500    Fax: 847-740-2505
County Of Lake
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 224 W Clarendon Dr, Round Lake Beach, IL 60073
Phone: 847-984-5100    Fax: 847-984-5120
Midwestern Institute Of Health Ltd
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 19 W Rollins Rd, Round Lake Beach, IL 60073
Phone: 847-740-7260    Fax: 847-740-7262
Accurate Home Visiting Doctors
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 301 E Rollins Rd, Round Lake Beach, IL 60073
Phone: 847-863-9589    Fax: 847-510-0636

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.