Michael Thomas Monticciolo, DO - Medicare Emergency Medicine in Ottawa, IL

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Michael Thomas Monticciolo, DO is a medicare enrolled "Emergency Medicine" physician in Ottawa, Illinois. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Mclaren Medical Group, Epmg Of Michigan Pc and his current practice location is 1100 E Norris Dr, Ottawa, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 433-3100.

Michael Thomas Monticciolo is licensed to practice in Illinois (license number 036172367) 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 1689914954.

Contact Information

Michael Thomas Monticciolo, DO
1100 E Norris Dr,
Ottawa, IL 61350
(815) 433-3100
(815) 433-0879

Map and Direction




Physician's Profile

Full NameMichael Thomas Monticciolo
GenderMale
SpecialityEmergency Medicine
Experience12 Years
Location1100 E Norris Dr, Ottawa, 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 Monticciolo attended and graduated from Michigan State University College Of Osteopathic Medicine in 2013
  NPI Data:
  • NPI Number: 1689914954
  • Provider Enumeration Date: 02/25/2013
  • Last Update Date: 11/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5294035515
  • Enrollment ID: I20170717001765

Medical Identifiers

Medical identifiers for Michael Thomas Monticciolo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689914954NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 5101020253 (Michigan)Secondary
207P00000XEmergency Medicine 036172367 (Illinois)Primary
207P00000XEmergency Medicine 02008680A (Indiana)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joe Mercy Hospital System LivoniaLivonia, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mclaren Medical Group3971416082314
Epmg Of Michigan Pc4789596339102

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 Monticciolo allows following entities to bill medicare on his behalf.
Entity NameMclaren Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346396066
PECOS PAC ID: 3971416082
Enrollment ID: O20031106000025
Entity NameChelsea Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912947409
PECOS PAC ID: 0648171074
Enrollment ID: O20040119000004
Entity NameEpmg Of Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386688992
PECOS PAC ID: 4789596339
Enrollment ID: O20040211000686
Entity NameLivonia Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508472028
PECOS PAC ID: 9638582943
Enrollment ID: O20210106000099

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 Monticciolo 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 Monticciolo, DO
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: () -		Michael Thomas Monticciolo, DO
1100 E Norris Dr,
Ottawa, IL 61350

Ph: (815) 433-3100

Reviews and Comments


Emergency Medicine Doctors in Ottawa, IL

Dr. Anastasia Lvovna Khoubaeva, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1100 E Norris Dr, Ottawa, IL 61350
Phone: 815-433-3100    Fax: 815-433-0879
Dr. Sheera Lall, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1100 E Norris Dr, Ottawa, IL 61350
Phone: 815-433-3100    
Diana Goodwine, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1100 E Norris Dr, Ottawa, IL 61350
Phone: 815-433-3100    Fax: 815-433-0879
Jordan Grace Marganski, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1100 E Norris Dr, Ottawa, IL 61350
Phone: 815-433-3100    Fax: 815-433-0879

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.