David Dylan Pate, PA-C - Medicare Physician Assistant in Jacksonville, IL

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David Dylan Pate, PA-C is a medicare enrolled "Physician Assistant - Medical" in Jacksonville, Illinois. He graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Memorial Physician Services and his current practice location is 15 Founders Ln Ste 100, Jacksonville, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 243-0300.

David Dylan Pate is licensed to practice in Illinois (license number 085005952) 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 1912453895.

Contact Information

David Dylan Pate, PA-C
15 Founders Ln Ste 100,
Jacksonville, IL 62650-3924
(217) 243-0300
(217) 862-0202

Map and Direction




Provider's Profile

Full NameDavid Dylan Pate
GenderMale
SpecialityPhysician Assistant
Experience10 Years
Location15 Founders Ln Ste 100, Jacksonville, 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:
  • David Dylan Pate graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1912453895
  • Provider Enumeration Date: 08/30/2016
  • Last Update Date: 09/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8325336753
  • Enrollment ID: I20161018000448

Medical Identifiers

Medical identifiers for David Dylan Pate such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912453895NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 085005952 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Medical CenterSpringfield, ILHospital
Sarah D Culbertson Memorial HospitalRushville, ILHospital
Jacksonville Memorial HospitalJacksonville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Physician Services9032005681161

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. David Dylan Pate allows following entities to bill medicare on his behalf.
Entity NameMidwest Emergency Department Specialists Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245263367
PECOS PAC ID: 5193627727
Enrollment ID: O20040123000845
Entity NameMemorial Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174877930
PECOS PAC ID: 9032005681
Enrollment ID: O20040223000454

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. David Dylan Pate 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
David Dylan Pate, PA-C
15 Founders Ln Ste 100,
Jacksonville, IL 62650-3924

Ph: (217) 243-0300		David Dylan Pate, PA-C
15 Founders Ln Ste 100,
Jacksonville, IL 62650-3924

Ph: (217) 243-0300

Reviews and Comments


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Michael W. King, P.A.-C.
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Shana L Whitehead, PA-C
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Zachary Humphress,
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Medicare: Accepting Medicare Assignments
Practice Location: 15 Founders Ln, Jacksonville, IL 62650
Phone: 217-243-0300    

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.