Dr Monica Duran, MD - Medicare Family Practice in Decatur, IL

Dr Monica Duran, MD is a medicare enrolled "Family Medicine" physician in Decatur, Illinois. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Dolly Briscoe Enterprises Inc and her current practice location is 3798 East Fulton Ave, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 864-2700.

Dr Monica Duran is licensed to practice in Illinois (license number 036107993) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1912176769.

Contact Information

Dr Monica Duran, MD
3798 East Fulton Ave,
Decatur, IL 62521
(217) 864-2700
(217) 422-3930

Map and Direction




Physician's Profile

Full NameDr Monica Duran
GenderFemale
SpecialityFamily Practice
Experience29 Years
Location3798 East Fulton Ave, Decatur, Illinois
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Monica Duran graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1912176769
  • Provider Enumeration Date: 02/26/2008
  • Last Update Date: 12/16/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5890698732
  • Enrollment ID: I20040129000144

Medical Identifiers

Medical identifiers for Dr Monica Duran such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912176769NPI-NPPES
036107993-1MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036107993 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dolly Briscoe Enterprises Inc19517698434

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 Monica Duran allows following entities to bill medicare on her behalf.
Entity NamePhysician's Choice Wellness
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447555685
PECOS PAC ID: 6709024755
Enrollment ID: O20130603000294
Entity NameDolly Briscoe Enterprises Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447555685
PECOS PAC ID: 1951769843
Enrollment ID: O20230626001117

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 Monica Duran 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 Monica Duran, MD
3798 East Fulton Ave,
Decatur, IL 62521

Ph: (217) 864-2700
Dr Monica Duran, MD
3798 East Fulton Ave,
Decatur, IL 62521

Ph: (217) 864-2700

Reviews and Comments


Family Medicine Doctors in Decatur, IL

Dr. Saranya Tharmakulasingam, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526
Phone: 217-872-3800    Fax: 217-872-0849
Dr. Amna Karim, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526
Phone: 217-872-3800    Fax: 217-872-0849
Dr. Brooke Nicole Ballard, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 320 E Central Ave, Decatur, IL 62521
Phone: 217-877-9117    Fax: 217-864-2449
Dr. Vijay Krishan Sharma, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 250 W Kenwood Ave, Decatur, IL 62526
Phone: 217-872-3800    Fax: 217-872-0849
Amisha Kamath, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 250 W Kenwood Ave, Decatur, IL 62526
Phone: 217-872-3800    Fax: 217-872-0849
Ritika Sharma, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2300 N Edward St Ste 3200, Decatur, IL 62526
Phone: 217-876-3660    Fax: 217-876-3665
Dr. Rami M Elmasry, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526
Phone: 217-872-3800    Fax: 217-872-0849

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.