Dr Grant Wilson Gonzalez, DPM in Springfield, IL

Dr Grant Wilson Gonzalez, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Springfield, Illinois. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Foot And Ankle Center Of Illinois Pc and his current practice location is 2921 Montvale Dr, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 787-2700.

Dr Grant Wilson Gonzalez is licensed to practice in Illinois (license number 016005651) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164856704.

Contact Information

	Dr Grant Wilson Gonzalez, DPM
	2921 Montvale Dr, Springfield, IL 62704-5359
	(217) 787-2700
	(217) 787-2715

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Grant Wilson Gonzalez
Gender	Male
Speciality	Podiatry
Experience	12 Years
Location	2921 Montvale Dr, Springfield, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Grant Wilson Gonzalez graduated from medical school in 2012

NPI Data:

NPI Number: 1164856704
Provider Enumeration Date: 08/31/2013
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1850604380
Enrollment ID: I20150713002639

Medical Identifiers

Medical identifiers for Dr Grant Wilson Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164856704	NPI	-	NPPES
016005651	Other	IL	STATE OF ILLINOIS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	POD001231 (Georgia)	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	016005651 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carlinville Area Hospital	Carlinville, IL	Hospital
St Marys Hospital	Decatur, IL	Hospital
St Johns Hospital	Springfield, IL	Hospital
Decatur Memorial Hospital	Decatur, IL	Hospital
Memorial Medical Center	Springfield, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Foot And Ankle Center Of Illinois Pc	9638347586	3

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 Grant Wilson Gonzalez allows following entities to bill medicare on his behalf.

Provider Name	Foot & Ankle Center Of Illinois Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1598058547 PECOS PAC ID: 9638347586 Enrollment ID: O20110719000773

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 Grant Wilson Gonzalez 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 Grant Wilson Gonzalez, DPM 2921 Montvale Dr, Springfield, IL 62704-5359 Ph: (217) 787-2700	Dr Grant Wilson Gonzalez, DPM 2921 Montvale Dr, Springfield, IL 62704-5359 Ph: (217) 787-2700

Reviews and Comments

Podiatrist in Springfield, IL

Dr. Marla Kay Wilson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1522 S 5th St, Springfield, IL 62703 Phone: 217-522-3622 Fax: 217-522-3046
Siebert Podiatry Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 102 S Grand Ave W, Springfield, IL 62704 Phone: 217-523-4539
Prairie Podiatry L.l.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 2070 W Iles Ave, Springfield, IL 62704 Phone: 217-698-6228 Fax: 217-698-7241
John M Sigle, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2921 Montvale Dr, Springfield, IL 62704 Phone: 217-793-9600 Fax: 217-793-9445
Foot & Ankle Associates Of Central Il Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1603 West Washington, Springfield, IL 62702 Phone: 217-744-7529
Foot & Ankle Associates Of Central Il Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3631 S 6th St, Springfield, IL 62703 Phone: 217-535-3685

Dr Grant Wilson Gonzalez, DPM - Medicare Podiatrist in Springfield, IL