Nolan Jacob Interial, DO - Medicare Nephrology in Rockford, IL

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Nolan Jacob Interial, DO is a medicare enrolled "Internal Medicine - Nephrology" physician in Rockford, Illinois. He went to Lincoln Mem Univ, Debusk Col Of Osteopathic Med and graduated in 2020 and has 6 years of diverse experience with area of expertise as Nephrology. His current practice location is 612 Roxbury Rd, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 227-8300.

Nolan Jacob Interial is licensed to practice in Wisconsin (license number 81106-21) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1093343964.

Contact Information

Nolan Jacob Interial, DO
612 Roxbury Rd,
Rockford, IL 61107-5089
(815) 227-8300
Not Available

Map and Direction




Physician's Profile

Full NameNolan Jacob Interial
GenderMale
SpecialityNephrology
Experience6 Years
Location612 Roxbury Rd, Rockford, Illinois
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nolan Jacob Interial attended and graduated from Lincoln Mem Univ, Debusk Col Of Osteopathic Med in 2020
  NPI Data:
  • NPI Number: 1093343964
  • Provider Enumeration Date: 03/27/2020
  • Last Update Date: 08/17/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1254738263
  • Enrollment ID: I20250912000719

Medical Identifiers

Medical identifiers for Nolan Jacob Interial such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093343964NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 81106-21 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Wi Hospitals & Clinics AuthorityMadison, WIHospital
Unitypoint Health - MeriterMadison, WIHospital

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. Nolan Jacob Interial allows following entities to bill medicare on his behalf.
Entity NameUniversity of Wisconsin Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598784555
PECOS PAC ID: 6608785464
Enrollment ID: O20031111000435

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. Nolan Jacob Interial 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
Nolan Jacob Interial, DO
612 Roxbury Rd,
Rockford, IL 61107-5089

Ph: Not Available		Nolan Jacob Interial, DO
612 Roxbury Rd,
Rockford, IL 61107-5089

Ph: (815) 227-8300

Reviews and Comments


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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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