Dr Paul Joseph Dimaggio, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Silvis, Illinois. His current practice location is
855 Illini Dr Ste 203, Silvis, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 281-4815.
Dr Paul Joseph Dimaggio is licensed to practice in Illinois (license number 036140472) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417181686.
Physician's Profile
| Full Name | Dr Paul Joseph Dimaggio |
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| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 855 Illini Dr Ste 203, Silvis, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417181686
- Provider Enumeration Date: 05/04/2009
- Last Update Date: 04/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 5193014298
- Enrollment ID: I20160525001223
Medical Identifiers
Medical identifiers for Dr Paul Joseph Dimaggio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417181686 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 43377 (Iowa) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036140472 (Illinois) | Primary |
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 Paul Joseph Dimaggio allows following entities to bill medicare on his behalf.
| Entity Name | Genesis Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477654945 PECOS PAC ID: 7214841436 Enrollment ID: O20060908000380 |
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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 Paul Joseph Dimaggio 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 Paul Joseph Dimaggio, MD 855 Illini Dr Ste 203, Silvis, IL 61282-2904 Ph: (309) 281-4815 | Dr Paul Joseph Dimaggio, MD 855 Illini Dr Ste 203, Silvis, IL 61282-2904 Ph: (309) 281-4815 |
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