Dr Michael Louis Radzienda, MD is a medicare enrolled "Internal Medicine" physician in Glenwood, Illinois. He graduated from medical school in 1995 and has 30 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Pmr Illinois Holding Llc and his current practice location is
19310 S Halsted St, Glenwood, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 300-3132.
Dr Michael Louis Radzienda is licensed to practice in Illinois (license number 036095779) 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 1457342610.
Physician's Profile
| Full Name | Dr Michael Louis Radzienda |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 30 Years |
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| Location | 19310 S Halsted St, Glenwood, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michael Louis Radzienda graduated from medical school in 1995
NPI Data:
- NPI Number: 1457342610
- Provider Enumeration Date: 11/04/2005
- Last Update Date: 11/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103852967
- Enrollment ID: I20190625003521
Medical Identifiers
Medical identifiers for Dr Michael Louis Radzienda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457342610 | NPI | - | NPPES |
| 34752800 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 01060676A (Indiana) | Secondary |
| 207R00000X | Internal Medicine | 50075 (Wisconsin) | Secondary |
| 207R00000X | Internal Medicine | 036095779 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pmr Illinois Holding Llc | 2062804909 | 15 |
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 Michael Louis Radzienda allows following entities to bill medicare on his behalf.
| Entity Name | Pmr Illinois Holding Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770038671
PECOS PAC ID: 2062804909
Enrollment ID: O20220126001647 |
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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 Michael Louis Radzienda 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 |
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Dr Michael Louis Radzienda, MD
19310 S Halsted St,
Glenwood, IL 60425-1562
Ph: (708) 300-3132 | Dr Michael Louis Radzienda, MD
19310 S Halsted St,
Glenwood, IL 60425-1562
Ph: (708) 300-3132 |
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