Dr Thomas Pliura, MD - Medicare Emergency Medicine in Normal, IL

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Dr Thomas Pliura, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Normal, Illinois. His current practice location is Virginia & Franklin Streets, Normal, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 827-4321.

Dr Thomas Pliura is licensed to practice in Illinois (license number 036-069013) 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 1124054010.

Contact Information

Dr Thomas Pliura, MD
Virginia & Franklin Streets,
Normal, IL 61761
(309) 827-4321
Not Available

Map and Direction




Physician's Profile

Full NameDr Thomas Pliura
GenderMale
SpecialityEmergency Medicine - Emergency Medical Services
LocationVirginia & Franklin Streets, Normal, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124054010
  • Provider Enumeration Date: 06/23/2006
  • Last Update Date: 04/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0648241208
  • Enrollment ID: I20060227000622

Medical Identifiers

Medical identifiers for Dr Thomas Pliura such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124054010NPI-NPPES
036069013-1MedicaidIL
05721369OtherILBC/BS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 036-069013 (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 Thomas Pliura allows following entities to bill medicare on his behalf.
Entity NameMarion Diagnostic Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366543084
PECOS PAC ID: 0749289833
Enrollment ID: O20061219000431
Entity NameIntegritas Emergency Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790128817
PECOS PAC ID: 7113167446
Enrollment ID: O20130710000760

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 Thomas Pliura 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 Thomas Pliura, MD
Rr 2 Box 130,
Le Roy, IL 61752-9541

Ph: () -		Dr Thomas Pliura, MD
Virginia & Franklin Streets,
Normal, IL 61761

Ph: (309) 827-4321

Reviews and Comments


Emergency Medicine Doctors in Normal, IL

Julie Lewis, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1304 Franklin Ave, Emergency Department, Normal, IL 61761
Phone: 309-454-1400    
Dr. Stephanie Sullivan, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1304 Franklin Ave, Normal, IL 61761
Phone: 309-454-1400    
Dr. Melvin Ehrhardt, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Virginia & Franklin Streets, Normal, IL 61761
Phone: 309-827-4321    
Tomasz Przednowek,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1304 Franklin Ave, Normal, IL 61761
Phone: 309-268-5130    
Dr. Parasakthi Kolandaivelu, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Virginia & Franklin Streets, Normal, IL 61761
Phone: 309-827-4321    
Ross David Percell, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1304 Franklin Ave Ste 380, Normal, IL 61761
Phone: 309-268-5130    Fax: 309-268-5784

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.