Michael Thomas Ginnetti, MD - Medicare Dermatology in Bloomington, IL

Michael Thomas Ginnetti, MD is a medicare enrolled "Dermatology" physician in Bloomington, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Dermatology. His current practice location is 1015 S Mercer Ave Ste Gf7, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 660-8442.

Michael Thomas Ginnetti is licensed to practice in Illinois (license number 036.156711) 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 1316474976.

Contact Information

Michael Thomas Ginnetti, MD
1015 S Mercer Ave Ste Gf7,
Bloomington, IL 61701-7107
(309) 660-8442
Not Available

Map and Direction




Physician's Profile

Full NameMichael Thomas Ginnetti
GenderMale
SpecialityDermatology
Experience7 Years
Location1015 S Mercer Ave Ste Gf7, Bloomington, 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:
  • Michael Thomas Ginnetti attended and graduated from Southern Illinois University School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1316474976
  • Provider Enumeration Date: 05/15/2017
  • Last Update Date: 11/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7719258268
  • Enrollment ID: I20210713000422

Medical Identifiers

Medical identifiers for Michael Thomas Ginnetti such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316474976NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology R-11187 (Iowa)Secondary
390200000XStudent In An Organized Health Care Education/training Program (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program R-11187 (Iowa)Secondary
207N00000XDermatology 036.156711 (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. Michael Thomas Ginnetti allows following entities to bill medicare on his behalf.
Entity NameBielinski Dermatology Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366497554
PECOS PAC ID: 6406868769
Enrollment ID: O20060705000103
Entity NamePrairie Dermatology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881333680
PECOS PAC ID: 5193104255
Enrollment ID: O20220620001750

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. Michael Thomas Ginnetti 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
Michael Thomas Ginnetti, MD
1015 S Mercer Ave Ste Gf7,
Bloomington, IL 61701-7107

Ph: (309) 660-8442
Michael Thomas Ginnetti, MD
1015 S Mercer Ave Ste Gf7,
Bloomington, IL 61701-7107

Ph: (309) 660-8442

Reviews and Comments


Dermatology Doctors in Bloomington, IL

Kent S. Taulbee, M.D.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 2418 E Lincoln St, Bloomington, IL 61701
Phone: 309-663-6386    Fax: 309-662-7622
Mr. Rajagopala Swaminathan, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 3024 E Empire St Ste Eandf, Bloomington, IL 61704
Phone: 309-451-3376    Fax: 309-452-3376
Mr. Thomas Richard Brander, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1404 Eastland Drive, Suite 204, Bloomington, IL 61701
Phone: 309-662-8813    Fax: 309-662-6835
Mr. James Richard Seehafer, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1404 Eastland Drive, Suite 204, Bloomington, IL 61701
Phone: 309-662-8813    Fax: 309-662-6835
Mrs. Lucy Nelson Wisdom, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1404 Eastland Drive, Suite 204, Bloomington, IL 61701
Phone: 309-662-8813    Fax: 309-662-6835
Adrienne Schupbach, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3024 E Empire St Ste E&f, Bloomington, IL 61704
Phone: 309-451-3376    

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).

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