Makenzie Diserio, - Medicare Physician Assistant in Dekalb, IL

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Makenzie Diserio, is a medicare enrolled "Physician Assistant" in Dekalb, Illinois. Her current practice location is 1212 S 2nd St, Dekalb, Illinois. You can reach out to her office (for appointments etc.) via phone at (872) 231-3162.

Makenzie Diserio is licensed to practice in Illinois (license number 085.009196) 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 1679146302.

Contact Information

Makenzie Diserio,
1212 S 2nd St,
Dekalb, IL 60115-4435
(872) 231-3162
(702) 977-1496

Map and Direction




Provider's Profile

Full NameMakenzie Diserio
GenderFemale
SpecialityPhysician Assistant
Location1212 S 2nd St, Dekalb, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679146302
  • Provider Enumeration Date: 07/20/2021
  • Last Update Date: 10/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1254715980
  • Enrollment ID: I20220830002942

Medical Identifiers

Medical identifiers for Makenzie Diserio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679146302NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 085.009196 (Illinois)Primary

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. Makenzie Diserio 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
Makenzie Diserio,
Po Box 74008272,
Chicago, IL 60674-8272

Ph: (702) 899-0595		Makenzie Diserio,
1212 S 2nd St,
Dekalb, IL 60115-4435

Ph: (872) 231-3162

Reviews and Comments


Physician Assistant Nurses in Dekalb, IL

Mrs. Haley Ranae Goulson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 10 Health Services Dr, Dekalb, IL 60115
Phone: 815-756-5255    Fax: 815-756-9944
Sadie Donaghy, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115
Phone: 815-766-7334    Fax: 815-766-9768

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.