Dr Carly Rae Woodin, MD in Peoria, IL

Dr Carly Rae Woodin, MD is a medicare enrolled "Pediatrics" physician in Peoria, Illinois. Her current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 655-7171.

Dr Carly Rae Woodin is licensed to practice in Illinois (license number 036173007) 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 1851036610.

Contact Information

	Dr Carly Rae Woodin, MD
	530 Ne Glen Oak Ave, Peoria, IL 61637-0001
	(309) 655-7171
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Carly Rae Woodin
Gender	Female
Speciality	Pediatrics
Location	530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851036610
Provider Enumeration Date: 05/04/2022
Last Update Date: 05/08/2025

Medicare PECOS Information:

PECOS PAC ID: 5294244745
Enrollment ID: I20250604004180

Medical Identifiers

Medical identifiers for Dr Carly Rae Woodin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851036610	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036173007 (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 Carly Rae Woodin allows following entities to bill medicare on her behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Dr Carly Rae Woodin 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 Carly Rae Woodin, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: () -	Dr Carly Rae Woodin, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-7171

Reviews and Comments

Pediatrics Doctors in Peoria, IL

Thomas James Mcmorrow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2553 Fax: 309-655-2602
Jessica Ford-davis, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2274
Kelsey Elizabeth Grimes, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Jessica N Mistretta, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 8600 State Route 91 Ste 200, Peoria, IL 61615 Phone: 309-692-1030 Fax: 309-691-3241
Mrs. Valeria Claudia Benavides Lopez, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-3313
Dr. Gretchen L Kopec, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-0615
Dr. Patrick Joseph Rizzuto Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-671-3000

Dr Carly Rae Woodin, MD - Medicare Pediatrics in Peoria, IL