Dr Charisa M Spoo, DO - Medicare Diagnostic Radiology in Oak Lawn, IL

Dr Charisa M Spoo, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Oak Lawn, Illinois. She went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 1986 and has 38 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Integrated Imaging Consultants Llc and her current practice location is 4440 W 95th, Radiology Department, Oak Lawn, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 684-8000.

Dr Charisa M Spoo is licensed to practice in Illinois (license number 036078515) 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 1326143439.

Contact Information

Dr Charisa M Spoo, DO
4440 W 95th, Radiology Department,
Oak Lawn, IL 60453
(708) 684-8000
Not Available



Physician's Profile

Full NameDr Charisa M Spoo
GenderFemale
SpecialityDiagnostic Radiology
Experience38 Years
Location4440 W 95th, Oak Lawn, 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:
  • Dr Charisa M Spoo attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 1986
  NPI Data:
  • NPI Number: 1326143439
  • Provider Enumeration Date: 09/13/2006
  • Last Update Date: 12/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9234032699
  • Enrollment ID: I20040202000147

Medical Identifiers

Medical identifiers for Dr Charisa M Spoo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326143439NPI-NPPES
036078515MedicaidIL
P00110671OtherILRAILROAD
1618334OtherILBCBS ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 036078515 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Christ Hospital & Medical CenterOak lawn, ILHospital
Advocate Trinity HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integrated Imaging Consultants Llc2567784408166

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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. Dr Charisa M Spoo allows following entities to bill medicare on her behalf.
Entity NameIntegrated Imaging Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700285335
PECOS PAC ID: 2567784408
Enrollment ID: O20141204001441

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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. Dr Charisa M Spoo 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
Dr Charisa M Spoo, DO
4440 W 95th St, Radiology Department,
Oak Lawn, IL 60453

Ph: (708) 684-8000
Dr Charisa M Spoo, DO
4440 W 95th, Radiology Department,
Oak Lawn, IL 60453

Ph: (708) 684-8000

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Radiology Doctors in Oak Lawn, IL

Dr. Choong H Koh, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 4440 W 95th Street, Oak Lawn, IL 60653
Phone: 708-345-5520    
Dr. Paul Michael Guzzetta Jr., M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-684-3077    Fax: 708-684-4800
Dr. Myrosia Tomiak Mitchell, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 4440 W 95th St, Advocate Christ Medical Center, Dept. Of Radiology, Oak Lawn, IL 60453
Phone: 708-915-5671    Fax: 708-915-4022
Nihal Gooneratne, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-648-5520    
Paul Montgomery, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 4440 W 95th St Dept Of, Oak Lawn, IL 60453
Phone: 708-684-5503    Fax: 708-684-2675
Dr. Hyuk Jason Kang, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-346-3055    
Jose Ramilo, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-684-5520    

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