Denise A Mcguffin, MD - Medicare Internal Medicine in Normal, IL

Denise A Mcguffin, MD is a medicare enrolled "Internal Medicine" physician in Normal, Illinois. She went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2002 and has 22 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Carle West Physician Group Inc and her current practice location is 1304 Franklin Ave, Normal, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 454-1400.

Denise A Mcguffin is licensed to practice in Illinois (license number 036114173) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245328574.

Contact Information

Denise A Mcguffin, MD
1304 Franklin Ave,
Normal, IL 61761-3558
(309) 454-1400
Not Available

Map and Direction




Physician's Profile

Full NameDenise A Mcguffin
GenderFemale
SpecialityInternal Medicine
Experience22 Years
Location1304 Franklin Ave, Normal, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Denise A Mcguffin attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2002
  NPI Data:
  • NPI Number: 1245328574
  • Provider Enumeration Date: 10/11/2006
  • Last Update Date: 10/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729003348
  • Enrollment ID: I20051012000468

Medical Identifiers

Medical identifiers for Denise A Mcguffin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245328574NPI-NPPES
036114173MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036114173 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Bromenn Medical CenterNormal, ILHospital
Advocate Eureka HospitalEureka, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carle West Physician Group Inc8921420308254

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. Denise A Mcguffin allows following entities to bill medicare on her behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147

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. Denise A Mcguffin 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 AddressPractice Location Address
Denise A Mcguffin, MD
611 W. Park St, Fapc,
Urbana, IL 61801

Ph: () -
Denise A Mcguffin, MD
1304 Franklin Ave,
Normal, IL 61761-3558

Ph: (309) 454-1400

Reviews and Comments


Internal Medicine Doctors in Normal, IL

Dr. Ali Raza Ghani, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1302 Franklin Ave Ste 4500, Normal, IL 61761
Phone: 309-556-8300    
Dr. Thanom Temiyasathit, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1302 Franklin Ave, Suite 4500, Normal, IL 61761
Phone: 309-828-1166    Fax: 309-862-0330
Mr. Kenneth Schoenig, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1302 Franklin Ave, #4800, Normal, IL 61761
Phone: 309-454-5900    Fax: 309-454-2820
Beth L Tumilty, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1302 Franklin Ave, #4500, Normal, IL 61761
Phone: 309-828-1166    Fax: 309-862-0330
Dr. Robert Edward Clark, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1302 Franklin Ave, Suite 4800, Normal, IL 61761
Phone: 309-454-5900    Fax: 309-454-2820
Piotr Pawel Krolikowski, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1300 Franklin Ave Ste 380, Normal, IL 61761
Phone: 309-268-3598    Fax: 309-268-2536
Dr. Chae Chu, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1302 Franklin Ave, #2200, Normal, IL 61761
Phone: 309-662-9631    Fax: 309-662-4706

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.