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

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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 Humboldt Park Health, Osf Multi-specialty Group 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 NameYaimet Vidal Bucknor
GenderFemale
SpecialityInternal Medicine
Experience28 Years
Location4500 Memorial Dr, Belleville, Illinois
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1902030836NPI-NPPES
036123195OtherILSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036123195 (Illinois)Secondary
208M00000XHospitalist 036123195 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Osf Saint Katharine Medical CenterDixon, ILHospital
Saint Anthony Medical CenterRockford, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Humboldt Park Health8921907072106
Osf Multi-specialty Group36788897892123

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 NameIllinois Department of Human Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003960394
PECOS PAC ID: 9830003920
Enrollment ID: O20031113000414
Entity NameHumboldt Park Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740417153
PECOS PAC ID: 8921907072
Enrollment ID: O20040107000704
Entity NameFairview Heights Medical Group SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679503668
PECOS PAC ID: 6800784083
Enrollment ID: O20040309000650
Entity NameSound Physicians of Illinois LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043598865
PECOS PAC ID: 1557533734
Enrollment ID: O20111012000272
Entity NameOSF Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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 AddressPractice 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
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Medicare: Accepting Medicare Assignments
Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-257-6220    Fax: 618-257-6679
Ijeoma Gloria Okeke, MD, MHA
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Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-257-6220    
Akhil Chapagain, M.D.
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Practice Location: 211 S 3rd St, Apt 2e, Belleville, IL 62220
Phone: 618-234-2120    
Dr. Shadi Adel Altwal, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-257-6220    Fax: 618-257-6679
Sumanth Singireddy Reddy, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-257-6220    Fax: 618-257-6679
Farhanaz Chowdhury, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-257-6220    Fax: 618-257-6679
Sana Usman, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 180 S 3rd St, Suite 300, Belleville, IL 62220
Phone: 618-233-5480    Fax: 618-222-4790

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.