Dr Frederick J Pfalzgraf, MD - Medicare Rheumatology in Herrin, IL

Dr Frederick J Pfalzgraf, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Herrin, Illinois. He went to University Of Wisconsin School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Rheumatology. He is a member of the group practice Marshall Browning Hospital Association, Ferrell Hospital Community Foundation, Franklin Hospital District, Mercy Hospital Perry, Select Physical Therapy Holdings Inc and his current practice location is 408 Lincoln Dr, Suite A, Herrin, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 993-1408.

Dr Frederick J Pfalzgraf is licensed to practice in Illinois (license number 036102694) 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 1659385581.

Contact Information

Dr Frederick J Pfalzgraf, MD
408 Lincoln Dr, Suite A,
Herrin, IL 62948-3790
(618) 993-1408
Not Available

Map and Direction




Physician's Profile

Full NameDr Frederick J Pfalzgraf
GenderMale
SpecialityRheumatology
Experience33 Years
Location408 Lincoln Dr, Herrin, 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 Frederick J Pfalzgraf attended and graduated from University Of Wisconsin School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1659385581
  • Provider Enumeration Date: 07/28/2006
  • Last Update Date: 06/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9032116868
  • Enrollment ID: I20061108000526

Medical Identifiers

Medical identifiers for Dr Frederick J Pfalzgraf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659385581NPI-NPPES
036102694MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology 036102694 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Marshall Browning HospitalDu quoin, ILHospital
Franklin HospitalBenton, ILHospital
Perry County Memorial HospitalPerryville, MOHospital
Ferrell Hospital Community FoundationsEldorado, ILHospital
Pinckneyville Community HospitalPinckneyville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Marshall Browning Hospital Association933504998028
Ferrell Hospital Community Foundation135538945348
Franklin Hospital District408251604227
Mercy Hospital Perry115377782684
Select Physical Therapy Holdings Inc95370764011487

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 Frederick J Pfalzgraf allows following entities to bill medicare on his behalf.
Entity NameFranklin Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255369427
PECOS PAC ID: 4082516042
Enrollment ID: O20040121001102
Entity NameMarshall Browning Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821099441
PECOS PAC ID: 9335049980
Enrollment ID: O20040226000868
Entity NameFerrell Hospital Community Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194713404
PECOS PAC ID: 1355389453
Enrollment ID: O20090630000256

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 Frederick J Pfalzgraf 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 Frederick J Pfalzgraf, MD
Po Box 2963,
Carbondale, IL 62902-2963

Ph: (618) 993-1408
Dr Frederick J Pfalzgraf, MD
408 Lincoln Dr, Suite A,
Herrin, IL 62948-3790

Ph: (618) 993-1408

Reviews and Comments


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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).

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