Jose Manuel Pena, MD - Medicare Pediatrics in Peoria, IL

Jose Manuel Pena, MD is a medicare enrolled "Pediatrics" physician in Peoria, Illinois. 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) 655-2274.

Jose Manuel Pena is licensed to practice in Illinois (license number 125.070535) 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 1770013583.

Contact Information

Jose Manuel Pena, MD
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001
(309) 655-2274
Not Available

Map and Direction




Physician's Profile

Full NameJose Manuel Pena
GenderMale
SpecialityPediatrics
Location530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770013583
  • Provider Enumeration Date: 06/14/2017
  • Last Update Date: 06/14/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7911271598
  • Enrollment ID: I20200914002562

Medical Identifiers

Medical identifiers for Jose Manuel Pena such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770013583NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 125.070535 (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. Jose Manuel Pena allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790718229
PECOS PAC ID: 1052217478
Enrollment ID: O20031208000899

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. Jose Manuel Pena 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
Jose Manuel Pena, MD
2401 W Alta Rd Apt 602,
Peoria, IL 61615-1287

Ph: (602) 999-3249
Jose Manuel Pena, MD
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001

Ph: (309) 655-2274

Reviews and Comments


Pediatrics Doctors in Peoria, IL

Thomas James Mcmorrow, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2553    Fax: 309-655-2602
Jessica Ford-davis, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2274    
Kelsey Elizabeth Grimes, DO
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Medicare: Not Enrolled in Medicare
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2000    
Jessica N Mistretta, DO
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Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2000    
Mrs. Valeria Claudia Benavides Lopez, M.D., M.P.H.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-624-3313    
Khalid Al Katranji, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-7171    
Dr. Gretchen L Kopec, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-624-0615    

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.

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