Physical Medicine Institute Of Joliet is a medicare enrolled "Internal Medicine" provider in Joliet, Illinois. Their current practice location is
742 Essington Rd, Joliet, Illinois. You can reach out to their office (for appointments etc.) via phone at
(815) 729-2022.
Physical Medicine Institute Of Joliet is licensed to practice in Illinois (license number 036.094493) and it also participates in the medicare program. Physical Medicine Institute Of Joliet
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1578819397.
Healthcare Provider's Profile
| Full Name | Physical Medicine Institute Of Joliet |
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| Type | Facility |
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| Speciality | Internal Medicine |
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| Location | 742 Essington Rd, Joliet, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578819397
- Provider Enumeration Date: 07/30/2012
- Last Update Date: 09/07/2012
Medicare PECOS Information:
- PECOS PAC ID: 5597917146
- Enrollment ID: O20121206000564
Medical Identifiers
Medical identifiers for Physical Medicine Institute Of Joliet such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578819397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 038.006593 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 036.094493 (Illinois) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 038.006593 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209.003560 (Illinois) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Physical Medicine Institute Of Joliet acts as a billing entity for following providers:
| Provider Name | Chitra S Madhavan |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1205889706
PECOS PAC ID: 3870583495
Enrollment ID: I20040515000279 |
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| Provider Name | Frank J Ostir |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1972599462
PECOS PAC ID: 8729058466
Enrollment ID: I20040816000196 |
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| Provider Name | Angelo B Reyes |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1073683470
PECOS PAC ID: 3779546635
Enrollment ID: I20041111000062 |
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| Provider Name | Ann R Manalang |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1669814364
PECOS PAC ID: 5294978110
Enrollment ID: I20130826000165 |
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| Provider Name | Victoria O Dotchev |
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| Provider Type | Practitioner - Anesthesiology |
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| Provider Identifiers | NPI Number: 1811217623
PECOS PAC ID: 7719280395
Enrollment ID: I20160115000567 |
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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. Physical Medicine Institute Of Joliet 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 |
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Physical Medicine Institute Of Joliet
742 Essington Rd,
Joliet, IL 60435-4912
Ph: (815) 729-2022 | Physical Medicine Institute Of Joliet
742 Essington Rd,
Joliet, IL 60435-4912
Ph: (815) 729-2022 |
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