Emilia B David-restivo, MD in Alton, IL

Emilia B David-restivo, MD is a medicare enrolled "Pediatrics" physician in Alton, Illinois. Her current practice location is 4 Memorial Dr Ste 210, Alton, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 463-0649.

Emilia B David-restivo is licensed to practice in Illinois (license number 036-116491) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902909492.

Contact Information

	Emilia B David-restivo, MD
	4 Memorial Dr Ste 210, Alton, IL 62002
	(618) 463-0649
	(618) 465-3390

Map and Direction

Physician's Profile

Full Name	Emilia B David-restivo
Gender	Female
Speciality	Pediatrics
Location	4 Memorial Dr Ste 210, Alton, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902909492
Provider Enumeration Date: 09/07/2006
Last Update Date: 04/13/2021

Medicare PECOS Information:

PECOS PAC ID: 9032210612
Enrollment ID: I20070726000352

Medical Identifiers

Medical identifiers for Emilia B David-restivo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902909492	NPI	-	NPPES
N6122	Other	TX	TX LICENSE
2006017929	Other	MO	MO LICENSE
036116491	Other	IL	LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2006017929 (Missouri)	Secondary
208000000X	Pediatrics	036-116491 (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. Emilia B David-restivo allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Healthcare Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609813500 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641

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. Emilia B David-restivo 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
Emilia B David-restivo, MD 4 Memorial Dr Ste 210, Alton, IL 62002-6751 Ph: (618) 463-0649	Emilia B David-restivo, MD 4 Memorial Dr Ste 210, Alton, IL 62002 Ph: (618) 463-0649

Reviews and Comments

Pediatrics Doctors in Alton, IL

Dr. Sirisak Suntharasantic, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002 Phone: 618-463-0649 Fax: 618-463-3390
Dr. Shelby Ann Markel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4 Memorial Dr Ste 110, Alton, IL 62002 Phone: 618-474-1711 Fax: 618-462-2643
Jonathan Burt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 Fax: 618-463-7216
Dr. Kelly J Lindsey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Professional Dr, Suite 250, Alton, IL 62002 Phone: 618-463-8636 Fax: 618-463-8640
Dr. John H. Giroux, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 550 Landmarks Blvd, Alton, IL 62002 Phone: 618-463-0649 Fax: 618-465-3390
Mrs. Janis M. Robinson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4 Memorial Dr., Ste 110, Alton, IL 62002 Phone: 618-474-1711 Fax: 618-474-2793
Dr. Laura Pulaski Barton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Memorial Dr., Ste 110, Alton, IL 62002 Phone: 618-474-1711 Fax: 618-474-1711

Emilia B David-restivo, MD - Medicare Pediatrics in Alton, IL