Denise M Mammolito, MD - Medicare Surgery in Dunlap, IL

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Denise M Mammolito, MD is a medicare enrolled "Surgery" physician in Dunlap, Illinois. Her current practice location is 12507 N Hickory Grove Rd, Dunlap, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 696-1085.

Denise M Mammolito is licensed to practice in Illinois (license number 036082251) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972604221.

Contact Information

Denise M Mammolito, MD
12507 N Hickory Grove Rd,
Dunlap, IL 61525-9411
(309) 696-1085
Not Available

Map and Direction




Physician's Profile

Full NameDenise M Mammolito
GenderFemale
SpecialitySurgery
Location12507 N Hickory Grove Rd, Dunlap, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972604221
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 01/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2062515166
  • Enrollment ID: I20070309000471

Medical Identifiers

Medical identifiers for Denise M Mammolito such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972604221NPI-NPPES
7215166OtherILBCBS OF ILLINOIS
K35445OtherILMEDICARE ID, TYPE UNSPEC
036082251MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 036082251 (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. Denise M Mammolito allows following entities to bill medicare on her behalf.
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Denise M Mammolito 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 M Mammolito, MD
12507 N Hickory Grove Rd,
Dunlap, IL 61525-9411

Ph: (309) 696-1085		Denise M Mammolito, MD
12507 N Hickory Grove Rd,
Dunlap, IL 61525-9411

Ph: (309) 696-1085

Reviews and Comments


Surgery Doctors in Dunlap, IL


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.