Dr Robert Brizzolara, MD is a medicare enrolled "Hospitalist" physician in Crystal Lake, Illinois. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Caromont Medical Group Inc, 24 On Physicians Pc and his current practice location is
650 Dakota St Ste A, Crystal Lake, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 455-6000.
Dr Robert Brizzolara is licensed to practice in North Carolina (license number 2019-01928) 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 1265677199.
Physician's Profile
Full Name | Dr Robert Brizzolara |
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Gender | Male |
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Speciality | Hospitalist |
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Experience | 20 Years |
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Location | 650 Dakota St Ste A, Crystal Lake, 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. |
Medical Education and Training:
- Dr Robert Brizzolara graduated from medical school in 2004
NPI Data:
- NPI Number: 1265677199
- Provider Enumeration Date: 12/05/2008
- Last Update Date: 04/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 6608931217
- Enrollment ID: I20191230001347
Medical Identifiers
Medical identifiers for Dr Robert Brizzolara such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265677199 | NPI | - | NPPES |
036121936 | Other | IL | STATE LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 036121936 (Illinois) | Secondary |
208M00000X | Hospitalist | 036121936 (Illinois) | Secondary |
208M00000X | Hospitalist | 2019-01928 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Caromont Medical Group Inc | 3577476258 | 328 |
24 On Physicians Pc | 5698688141 | 250 |
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 Robert Brizzolara allows following entities to bill medicare on his behalf.
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
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Entity Name | Novant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
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Entity Name | Caromont Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070 |
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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 Robert Brizzolara 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 Robert Brizzolara, MD 650 Dakota St Ste A, Crystal Lake, IL 60012-3744 Ph: () - | Dr Robert Brizzolara, MD 650 Dakota St Ste A, Crystal Lake, IL 60012-3744 Ph: (815) 455-6000 |
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