Dr Damian W Grivetti, MD is a medicare enrolled "Family Medicine" physician in Granville, Illinois. He graduated from medical school in 2000 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mendota Community Hospital and his current practice location is
309 S. Mccoy, Granville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 339-6245.
Dr Damian W Grivetti is licensed to practice in Illinois (license number 036109350) 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 1518970847.
Physician's Profile
| Full Name | Dr Damian W Grivetti |
|---|
| Gender | Male |
|---|
| Speciality | Family Practice |
|---|
| Experience | 25 Years |
|---|
| Location | 309 S. Mccoy, Granville, Illinois |
|---|
| Accepts Medicare Assignments | Yes. 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 Damian W Grivetti graduated from medical school in 2000
NPI Data:
- NPI Number: 1518970847
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 08/25/2008
Medicare PECOS Information:
- PECOS PAC ID: 4789672114
- Enrollment ID: I20040504001455
Medical Identifiers
Medical identifiers for Dr Damian W Grivetti such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518970847 | NPI | - | NPPES |
| 036109350 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 036109350 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mendota Community Hospital | 2264335777 | 48 |
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 Damian W Grivetti allows following entities to bill medicare on his behalf.
| Entity Name | Mendota Community Hospital |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1407872997 PECOS PAC ID: 2264335777 Enrollment ID: O20040131000102 |
|---|
| 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 Damian W Grivetti 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 Damian W Grivetti, MD 600 E 1st St, Spring Valley, IL 61362-1512 Ph: (815) 339-6245 | Dr Damian W Grivetti, MD 309 S. Mccoy, Granville, IL 61326-9333 Ph: (815) 339-6245 |
Reviews and Comments