Yaimet Vidal Bucknor, MD in Belleville, IL - Medicare Internal Medicine

Yaimet Vidal Bucknor, MD is a medicare enrolled "Hospitalist" physician in Belleville, Illinois. She graduated from medical school in 1998 and has 28 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Osf Multi-specialty Group, Humboldt Park Health and her current practice location is 4500 Memorial Dr, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 257-6220.

Yaimet Vidal Bucknor is licensed to practice in Illinois (license number 036123195) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902030836.

Contact Information

	Yaimet Vidal Bucknor, MD
	4500 Memorial Dr, Belleville, IL 62226-5360
	(618) 257-6220
	Not Available

Map and Direction

Physician's Profile

Full Name	Yaimet Vidal Bucknor
Gender	Female
Speciality	Internal Medicine
Experience	28 Years
Location	4500 Memorial Dr, Belleville, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Yaimet Vidal Bucknor graduated from medical school in 1998

NPI Data:

NPI Number: 1902030836
Provider Enumeration Date: 05/06/2009
Last Update Date: 10/21/2025

Medicare PECOS Information:

PECOS PAC ID: 4880745470
Enrollment ID: I20200528003290

Medical Identifiers

Medical identifiers for Yaimet Vidal Bucknor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902030836	NPI	-	NPPES
036123195	Other	IL	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	036123195 (Illinois)	Secondary
208M00000X	Hospitalist	036123195 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Norwegian-american Hospital	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Osf Multi-specialty Group	3678889789	1848
Humboldt Park Health	8921907072	93

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. Yaimet Vidal Bucknor allows following entities to bill medicare on her behalf.

Entity Name	Illinois Department Of Human Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003960394 PECOS PAC ID: 9830003920 Enrollment ID: O20031113000414

Entity Name	Humboldt Park Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740417153 PECOS PAC ID: 8921907072 Enrollment ID: O20040107000704

Entity Name	Fairview Heights Medical Group Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650

Entity Name	Sound Physicians Of Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043598865 PECOS PAC ID: 1557533734 Enrollment ID: O20111012000272

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. Yaimet Vidal Bucknor 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
Yaimet Vidal Bucknor, MD 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (847) 570-2040	Yaimet Vidal Bucknor, MD 4500 Memorial Dr, Belleville, IL 62226-5360 Ph: (618) 257-6220

Reviews and Comments

Hospitalist Doctors in Belleville, IL

Bushra Shaukat, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 Fax: 618-257-6679
Dr. Leopoldo S. Pardo Iii, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1667 Golf Course Dr, Belleville, IL 62220 Phone: 618-257-8017 Fax: 618-257-8017
Dr. Linus Uchechukwu Anukwu, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 Fax: 618-257-6679
Kevin K Pham, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220
Douglas Anthony Kruse, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220
Ahsan Usman, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220
Dany Jose Saturno Arias, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-233-7750

Yaimet Vidal Bucknor, MD - Medicare Internal Medicine in Belleville, IL