Dr Alfonso E Urdaneta, MD - Medicare Family Practice in Nashville, IL

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Dr Alfonso E Urdaneta, MD is a medicare enrolled "Family Medicine" physician in Nashville, Illinois. He graduated from medical school in 1967 and has 59 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Washington County Hospital District and his current practice location is 705 South Grand Avenue, Nashville, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 327-2225.

Dr Alfonso E Urdaneta is licensed to practice in Illinois (license number 036047128) 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 1225085590.

Contact Information

Dr Alfonso E Urdaneta, MD
705 South Grand Avenue,
Nashville, IL 62263-1534
(618) 327-2225
(618) 327-2229

Map and Direction




Physician's Profile

Full NameDr Alfonso E Urdaneta
GenderMale
SpecialityFamily Practice
Experience59 Years
Location705 South Grand Avenue, Nashville, Illinois
Accepts Medicare AssignmentsYes. 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 Alfonso E Urdaneta graduated from medical school in 1967
  NPI Data:
  • NPI Number: 1225085590
  • Provider Enumeration Date: 05/30/2006
  • Last Update Date: 11/03/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 5597807909
  • Enrollment ID: I20100123000041

Medical Identifiers

Medical identifiers for Dr Alfonso E Urdaneta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225085590NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 036047128 (Illinois)Secondary
207Q00000XFamily Medicine 036047128 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Caretenders Visiting Services Of Southern IllinoisFairview heights, ILHome health agency
Amedisys Home HealthO fallon, ILHome health agency
Ssm Health At Home Health-illinoisMount vernon, ILHome health agency
Washington County HospitalNashville, ILHospital
Ssm Health St Mary's Hospital -centraliaCentralia, ILHospital
Ssm Health - Good Samaritan HospitalMount vernon, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Washington County Hospital District488059984419

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 Alfonso E Urdaneta allows following entities to bill medicare on his behalf.
Entity NameWashington County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659321560
PECOS PAC ID: 4880599844
Enrollment ID: O20031209000278
Entity NameIntegritas Emergency Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790128817
PECOS PAC ID: 7113167446
Enrollment ID: O20130710000760

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 Alfonso E Urdaneta 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
Dr Alfonso E Urdaneta, MD
3416 Hotze Road,
Salem, IL 62881-6616

Ph: (618) 548-1185		Dr Alfonso E Urdaneta, MD
705 South Grand Avenue,
Nashville, IL 62263-1534

Ph: (618) 327-2225

Reviews and Comments


Family Medicine Doctors in Nashville, IL

Ginger Fewell, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 705 S Grand St, Nashville, IL 62263
Phone: 618-327-2225    

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.