Julie A Desutter, PA - Medicare Physician Assistant in Peoria, IL

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Julie A Desutter, PA is a medicare enrolled "Physician Assistant - Medical" in Peoria, Illinois. Her current practice location is 200 E Pennsylvania Ave, Suite 212, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 676-8123.

Julie A Desutter is licensed to practice in Illinois (license number 085001405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093847600.

Contact Information

Julie A Desutter, PA
200 E Pennsylvania Ave, Suite 212,
Peoria, IL 61603-3089
(309) 676-8123
(309) 676-8455

Map and Direction




Provider's Profile

Full NameJulie A Desutter
GenderFemale
SpecialityPhysician Assistant - Medical
Location200 E Pennsylvania Ave, Peoria, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093847600
  • Provider Enumeration Date: 03/09/2007
  • Last Update Date: 12/11/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2567494669
  • Enrollment ID: I20050909000520

Medical Identifiers

Medical identifiers for Julie A Desutter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093847600NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 085001405 (Illinois)Primary

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. Julie A Desutter allows following entities to bill medicare on her behalf.
Entity NamePekin Prohealth Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932150299
PECOS PAC ID: 1951214576
Enrollment ID: O20031110000647
Entity NameMethodist Medical Center of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982656575
PECOS PAC ID: 1355259714
Enrollment ID: O20031126000494
Entity NameProctor Health Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134173917
PECOS PAC ID: 3476440173
Enrollment ID: O20040227000906
Entity NameMethodist Medical Center of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184670663
PECOS PAC ID: 1355259714
Enrollment ID: O20040315000196
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829

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. Julie A Desutter 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
Julie A Desutter, PA
200 E Pennsylvania Ave, Suite 212,
Peoria, IL 61603-3089

Ph: (309) 676-8123		Julie A Desutter, PA
200 E Pennsylvania Ave, Suite 212,
Peoria, IL 61603-3089

Ph: (309) 676-8123

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).

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.