Dr Wayne Kenneth Manness, MD - Medicare Diagnostic Radiology in Peoria, IL

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Dr Wayne Kenneth Manness, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Peoria, Illinois. He went to Rutgers R W Johnson Medical School (cam/new Bruns/pisc) and graduated in 1993 and has 31 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Diaspora Radiology Sc, Cira Michigan Pc, Central Illinois Radiological Associates Ltd and his current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 655-2000.

Dr Wayne Kenneth Manness is licensed to practice in Illinois (license number 036-099816) 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 1710936497.

Contact Information

Dr Wayne Kenneth Manness, MD
530 Ne Glen Oak Ave,
Peoria, IL 61637-0914
(309) 655-2000
Not Available

Map and Direction




Physician's Profile

Full NameDr Wayne Kenneth Manness
GenderMale
SpecialityDiagnostic Radiology
Experience31 Years
Location530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsYes. 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 Wayne Kenneth Manness attended and graduated from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) in 1993
  NPI Data:
  • NPI Number: 1710936497
  • Provider Enumeration Date: 05/09/2006
  • Last Update Date: 03/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5092797803
  • Enrollment ID: I20040616000031

Medical Identifiers

Medical identifiers for Dr Wayne Kenneth Manness such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710936497NPI-NPPES
036099816MedicaidIL
212545OtherILGROUP PTAN
202926OtherILGROUP PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 0101242387 (Virginia)Secondary
2085R0202XRadiology - Diagnostic Radiology 35.091090 (Ohio)Secondary
2085R0202XRadiology - Diagnostic Radiology D00661190 (Maryland)Secondary
2085R0202XRadiology - Diagnostic Radiology 25MA06727700 (New Jersey)Secondary
2085R0202XRadiology - Diagnostic Radiology MD057715L (Pennsylvania)Secondary
2085R0202XRadiology - Diagnostic Radiology 036-099816 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Francis Medical CenterPeoria, ILHospital
St Joseph Medical CenterBloomington, ILHospital
St Mary Medical CenterGalesburg, ILHospital
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl CtrOttawa, ILHospital
Osf St Francis Hospital And Medical GroupEscanaba, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Diaspora Radiology Sc05475019425
Cira Michigan Pc711335526432
Central Illinois Radiological Associates Ltd9436061827167

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 Wayne Kenneth Manness allows following entities to bill medicare on his behalf.
Entity NameCentral Illinois Radiological Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538192828
PECOS PAC ID: 9436061827
Enrollment ID: O20031104000332
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541
Entity NameCentral Illinois Neuroradiology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881641371
PECOS PAC ID: 0042202467
Enrollment ID: O20040402000923
Entity NameDiaspora Radiology Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730652017
PECOS PAC ID: 0547501942
Enrollment ID: O20190412000511
Entity NameCira Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972141513
PECOS PAC ID: 7113355264
Enrollment ID: O20211101000663

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 Wayne Kenneth Manness 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 Wayne Kenneth Manness, MD
111 Oakwood Rd,
East Peoria, IL 61611-1853

Ph: (309) 740-4272		Dr Wayne Kenneth Manness, MD
530 Ne Glen Oak Ave,
Peoria, IL 61637-0914

Ph: (309) 655-2000

Reviews and Comments


Radiology Doctors in Peoria, IL

Dr. Lawrence C Wang, MD
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Practice Location: 401 Sw Water St, 1824, Peoria, IL 61602
Phone: 309-494-9320    
Dr. Matthew Trent Carpenter, MD
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Medicare: May Accept Medicare Assignments
Practice Location: 221 Ne Glen Oak Ave, Department Of Radiation Oncology, Peoria, IL 61636
Phone: 309-672-5700    Fax: 309-671-2774
Dr. Cameron Wailynn Taylor, MD
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Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2000    
Robert T Bockel, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 401 Sw Water St, Suite 507, Peoria, IL 61602
Phone: 309-494-9320    
Dr. Steven J Ullenius, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2000    
Dr. Amanda Catherine Cross, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61603
Phone: 309-655-2000    
Dr. Derek Beatty, D.O.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-7768    

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.