Angelica Moran, - Medicare Pathology in Chicago, IL

Angelica Moran, is a medicare enrolled "Pathology - Clinical Pathology" physician in Chicago, Illinois. Her current practice location is 5841 S Maryland Ave # 3083, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 702-1000.

Angelica Moran is licensed to practice in Illinois (license number 036158724) 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 1164878195.

Contact Information

Angelica Moran,
5841 S Maryland Ave # 3083,
Chicago, IL 60637
(773) 702-1000
Not Available



Physician's Profile

Full NameAngelica Moran
GenderFemale
SpecialityPathology - Clinical Pathology
Location5841 S Maryland Ave # 3083, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164878195
  • Provider Enumeration Date: 05/09/2016
  • Last Update Date: 08/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5193059764
  • Enrollment ID: I20230703000699

Medical Identifiers

Medical identifiers for Angelica Moran such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164878195NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZC0006XPathology - Clinical Pathology 125.073611 (Illinois)Secondary
207ZC0006XPathology - Clinical Pathology 036158724 (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. Angelica Moran allows following entities to bill medicare on her behalf.
Entity NameNorthshore University Healthsystem Faculty Practice Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118

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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. Angelica Moran 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
Angelica Moran,
180 Harvester Dr Ste 110,
Burr Ridge, IL 60527-6686

Ph: (773) 702-1150
Angelica Moran,
5841 S Maryland Ave # 3083,
Chicago, IL 60637

Ph: (773) 702-1000

News Archive

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Pathology Doctors in Chicago, IL

Mark Wang, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 251 E Huron St, Feinberg Pavilion, Chicago, IL 60611
Phone: 312-503-8144    Fax: 312-502-8249
Sandeep Gurbuxani,
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 5841 S Maryland Ave, Chicago, IL 60637
Phone: 888-824-0200    
Dr. Katrina Krogh, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 251 E Huron St Ste 7-132i, Chicago, IL 60611
Phone: 312-926-7913    Fax: 312-926-3127
Dr. Carmencita Garcia Senseng, MD
Pathology
Medicare: Medicare Enrolled
Practice Location: 1900 W Polk St, Chicago, IL 60612
Phone: 312-864-7561    
Suman Setty,
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1740 W Taylor St, Chicago, IL 60612
Phone: 866-600-2273    
Jayme Brentan, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611
Phone: 312-695-9797    
Dr. Megan Elizabeth Sullivan, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611
Phone: 312-926-3211    

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