Victor Javier Medina, MD is a medicare enrolled "Internal Medicine" physician in Kewanee, Illinois. He graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
519 Elliott St Ste S1, Kewanee, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 853-2442.
Victor Javier Medina is licensed to practice in Illinois (license number 036.177031) 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 1417659160.
Physician's Profile
| Full Name | Victor Javier Medina |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 3 Years |
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| Location | 519 Elliott St Ste S1, Kewanee, Illinois |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Victor Javier Medina graduated from medical school in 2023
NPI Data:
- NPI Number: 1417659160
- Provider Enumeration Date: 03/20/2023
- Last Update Date: 05/26/2026
Medicare PECOS Information:
- PECOS PAC ID: 5698245108
- Enrollment ID: I20260526003331
Medical Identifiers
Medical identifiers for Victor Javier Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417659160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 036.177031 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | 036.177031 (Illinois) | Primary |
| 208D00000X | General Practice | A197207 (California) | Secondary |
| 208D00000X | General Practice | ME1777341 (Florida) | Secondary |
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. Victor Javier Medina 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 |
|---|
Victor Javier Medina, MD
519 Elliott St Ste S1,
Kewanee, IL 61443-2776
Ph: (309) 853-2442 | Victor Javier Medina, MD
519 Elliott St Ste S1,
Kewanee, IL 61443-2776
Ph: (309) 853-2442 |
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