Dr Patricio Luis Ilada Iv, MD in Peoria, IL

Dr Patricio Luis Ilada Iv, MD is a medicare enrolled "Family Medicine" physician in Peoria, Illinois. He graduated from medical school in 1983 and has 43 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc, Vituity-wisconsin Hm Sc and his current practice location is 5114 N Glen Park Place Rd, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 683-6600.

Dr Patricio Luis Ilada Iv is licensed to practice in Wisconsin (license number 35992) 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 1679630156.

Contact Information

	Dr Patricio Luis Ilada Iv, MD
	5114 N Glen Park Place Rd, Peoria, IL 61614-4686
	(309) 683-6600
	(309) 683-2412

Map and Direction

Physician's Profile

Full Name	Dr Patricio Luis Ilada Iv
Gender	Male
Speciality	Family Practice
Experience	43 Years
Location	5114 N Glen Park Place Rd, Peoria, 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 Patricio Luis Ilada Iv graduated from medical school in 1983

NPI Data:

NPI Number: 1679630156
Provider Enumeration Date: 01/03/2007
Last Update Date: 05/23/2012

Medicare PECOS Information:

PECOS PAC ID: 4587565338
Enrollment ID: I20040115000781

Medical Identifiers

Medical identifiers for Dr Patricio Luis Ilada Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679630156	NPI	-	NPPES
32089400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35992 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
United Hospital System	Kenosha, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc	3678760063	1105
Vituity-wisconsin Hm Sc	4880056126	24

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 Patricio Luis Ilada Iv allows following entities to bill medicare on his behalf.

Entity Name	Mercy Health System Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164

Entity Name	Aspirus Rhinelander & Tomahawk Hospitals & Clinics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144991340 PECOS PAC ID: 9335059856 Enrollment ID: O20031126000706

Entity Name	Froedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699

Entity Name	Vituity-wisconsin Hm Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679265912 PECOS PAC ID: 4880056126 Enrollment ID: O20230817002412

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 Patricio Luis Ilada Iv 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 Patricio Luis Ilada Iv, MD 5114 N Glen Park Place Rd, Peoria, IL 61614-4686 Ph: (309) 683-6600	Dr Patricio Luis Ilada Iv, MD 5114 N Glen Park Place Rd, Peoria, IL 61614-4686 Ph: (309) 683-6600

Reviews and Comments

Family Medicine Doctors in Peoria, IL

Sarah R Koscica, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 W Garden St, Peoria, IL 61605 Phone: 309-680-7600 Fax: 309-680-7686
Karen Cadet-saintilus, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-5700 Fax: 309-683-5752
Iram Yunus, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 815 Main St Ste A, Peoria, IL 61602 Phone: 309-672-4977 Fax: 309-672-2580
Melanie Andrews, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5901 N Prospect Rd Ste 101b, Peoria, IL 61614 Phone: 309-740-4232
Gregory T Moskop, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-5700 Fax: 309-683-5752
Mrs. Vanessa Lauren Roof, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 5600 N Glen Elm Dr, Peoria, IL 61614 Phone: 844-341-2339
Ms. Aneta Monika Kowalska, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3915 Barring Trce, Peoria, IL 61615 Phone: 309-689-3030

Dr Patricio Luis Ilada Iv, MD - Medicare Family Practice in Peoria, IL