Look up the most recent NPI and PECOS records

Susan E Marcotte

Family Medicine

Allopathic & Osteopathic Physicians

16527 106th Ct, Orland Park, IL 60467-4545

PECOS Enrollment

This provider is enrolled in PECOS as SUSAN MARCOTTE.

Based on the most recent information from CMS, provider Susan E Marcotte is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1184678377
Provider Type
Individual
Full Name
Marcotte, Susan E
Title
Dr.
Credential
D.O.

Gender
Female
Sole Proprietor
No
Enumeration Date
5/20/2006
Last Updated
5/18/2012

Contact Information

Practice Location

16527 106th Ct, Orland Park, IL 60467-4545

(708) 675-1070

(708) 675-1073

Mailing Location

16527 106th Ct, Orland Park, IL 60467-4545

(708) 675-1070

(708) 675-1073

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 036075405 Illinois

Provider Identifiers

ID	Description	Issuer
ID 036075405	Description Medicaid	Issuer Unlisted Illinois

Susan E Marcotte

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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