Dr Eldon Samuel, MD in Peoria Heights, IL

Dr Eldon Samuel, MD is a medicare enrolled "Family Medicine" physician in Peoria Heights, Illinois. His current practice location is 1120 E War Memorial Dr, Peoria Heights, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 685-0100.

Dr Eldon Samuel is licensed to practice in Illinois (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427149210.

Contact Information

	Dr Eldon Samuel, MD
	1120 E War Memorial Dr, Peoria Heights, IL 61616-7757
	(309) 685-0100
	(309) 685-0172

Map and Direction

Physician's Profile

Full Name	Dr Eldon Samuel
Gender	Male
Speciality	Family Medicine
Location	1120 E War Memorial Dr, Peoria Heights, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427149210
Provider Enumeration Date: 09/27/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 6002800166
Enrollment ID: I20040412001208

Medical Identifiers

Medical identifiers for Dr Eldon Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427149210	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(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. Dr Eldon Samuel allows following entities to bill medicare on his behalf.

Entity Name	Osf Healthcare System
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1871919381 PECOS PAC ID: 4284541806 Enrollment ID: O20140425000229

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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 Eldon Samuel 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 Address	Practice Location Address
Dr Eldon Samuel, MD 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 Ph: (309) 685-0100	Dr Eldon Samuel, MD 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 Ph: (309) 685-0100

Reviews and Comments

Family Medicine Doctors in Peoria Heights, IL

Dr. Jumuna Patel, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 E War Memorial Dr, Peoria Heights, IL 61616 Phone: 309-685-0100 Fax: 309-685-0172
Dr. Mark Montefolka, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 E War Memorial Dr, Peoria Heights, IL 61616 Phone: 309-685-0100 Fax: 309-685-0172
Dr. James D Ausfahl, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 E War Memorial Dr, Peoria Heights, IL 61616 Phone: 309-685-0100 Fax: 309-685-0172
Dr. Ioan Mosoiu, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 E War Memorial Dr, Peoria Heights, IL 61616 Phone: 309-685-0100 Fax: 309-685-0172

Dr Eldon Samuel, MD - Medicare Family Medicine in Peoria Heights, IL