Dr Anthony Pendolino, DC, DIPL ACUP is a medicare enrolled "Chiropractor" provider in Plainfield, Illinois. His current practice location is
15715 S Route 59, Plainfield, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 436-1191.
Dr Anthony Pendolino is licensed to practice in Illinois (license number 038-007415) 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 1780779975.
Healthcare Provider's Profile
| Full Name | Dr Anthony Pendolino |
|---|
| Gender | Male |
|---|
| Speciality | Chiropractor |
|---|
| Location | 15715 S Route 59, Plainfield, Illinois |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780779975
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 07/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 8325066962
- Enrollment ID: I20051102001038
Medical Identifiers
Medical identifiers for Dr Anthony Pendolino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780779975 | NPI | - | NPPES |
| 5797137 | Other | IL | AENTA |
| 099-05743 | Other | IL | BC/BS |
| 318-6341 | Other | IL | CIGNA |
| 350039985 | Other | IL | RAILROAD MEDICARE |
| 200511800 | Other | IL | OWCP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 171100000X | Acupuncturist | 198-00373 (Illinois) | Secondary |
| 111N00000X | Chiropractor | 038-007415 (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 Anthony Pendolino allows following entities to bill medicare on his behalf.
| Provider Name | Dr Anthony Pendolino Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1508049149 PECOS PAC ID: 8426076068 Enrollment ID: O20051102000980 |
|---|
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 Anthony Pendolino 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 Anthony Pendolino, DC, DIPL ACUP 15715 S Route 59, Plainfield, IL 60544 Ph: (815) 436-1191 | Dr Anthony Pendolino, DC, DIPL ACUP 15715 S Route 59, Plainfield, IL 60544 Ph: (815) 436-1191 |
Reviews and Comments