Dr Mariellen Dentino, MD in Evansville, IN

Dr Mariellen Dentino, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Evansville, Indiana. She went to Indiana University School Of Medicine and graduated in 1973 and has 52 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice St Marys Medical Group Llc, Nephrology Associates, Llc and her current practice location is 3801 Bellemeade Ave Ste 330, Evansville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 479-3125.

Dr Mariellen Dentino is licensed to practice in Indiana (license number 1024941) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275533622.

Contact Information

	Dr Mariellen Dentino, MD
	3801 Bellemeade Ave Ste 330, Evansville, IN 47714-0113
	(812) 479-3125
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mariellen Dentino
Gender	Female
Speciality	Nephrology
Experience	52 Years
Location	3801 Bellemeade Ave Ste 330, Evansville, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mariellen Dentino attended and graduated from Indiana University School Of Medicine in 1973

NPI Data:

NPI Number: 1275533622
Provider Enumeration Date: 07/28/2005
Last Update Date: 06/17/2022

Medicare PECOS Information:

PECOS PAC ID: 4789729328
Enrollment ID: I20100306000120

Medical Identifiers

Medical identifiers for Dr Mariellen Dentino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275533622	NPI	-	NPPES
100242750	Medicaid	IN
390004294	Other	IN	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	1024941 (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Davita - Paoli Dialysis	Paoli, IN	Dialysis facility
Davita - Jasper Dialysis	Jasper, IN	Dialysis facility
Ascension St Vincent Evansville	Evansville, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Marys Medical Group Llc	1153493341	219
Nephrology Associates, Llc	4688610637	8

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 Mariellen Dentino allows following entities to bill medicare on her behalf.

Entity Name	Nephrology Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467403758 PECOS PAC ID: 4688610637 Enrollment ID: O20060519000114

Entity Name	St Marys Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164852539 PECOS PAC ID: 1153493341 Enrollment ID: O20140313001275

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 Mariellen Dentino 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 Mariellen Dentino, MD 3801 Bellemeade Ave Ste 330, Evansville, IN 47714-0113 Ph: () -	Dr Mariellen Dentino, MD 3801 Bellemeade Ave Ste 330, Evansville, IN 47714-0113 Ph: (812) 479-3125

Reviews and Comments

Internal Medicine Doctors in Evansville, IN

Corinne Mbakop, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 533 W Columbia St, Evansville, IN 47710 Phone: 812-492-5202 Fax: 812-450-8102
Maqbool A Ahmed, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 421 Chestnut St, Evansville, IN 47713 Phone: 812-426-9411 Fax: 812-426-9503
Dr. Jerry Becker, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 415 W Columbia St, Evansville, IN 47710 Phone: 812-464-9133 Fax: 812-464-0559
Khang C Lam, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-5000
Mubashir A Zahid, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 230, Evansville, IN 47710 Phone: 812-450-8600 Fax: 812-450-8151
Dr. Richard A Wepsic, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 520 Mary St., Suite 230, Evansville, IN 47710 Phone: 812-464-9133 Fax: 812-464-0559
Dr. Jessica L Jeffries, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 519 Harriet St, Evansville, IN 47710 Phone: 812-450-7720 Fax: 812-450-7730

Dr Mariellen Dentino, MD - Medicare Nephrology in Evansville, IN