Mckinley Marseille, APRN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pontiac, Illinois. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Illinois Gastroenterology Group Llc, Windy City Anesthesia Pc, Northstar Anesthesia Of Indiana Llc, Anesthesia Dynamics Llc, Redreef Anesthesia Associates Chartered Indiana Llc and his current practice location is
2500 W Reynolds St, Pontiac, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 842-2828.
Mckinley Marseille is licensed to practice in Illinois (license number 209025510) 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 1700556776.
Provider's Profile
| Full Name | Mckinley Marseille |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 5 Years |
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| Location | 2500 W Reynolds St, Pontiac, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mckinley Marseille graduated from nursing school in 2021
NPI Data:
- NPI Number: 1700556776
- Provider Enumeration Date: 09/20/2021
- Last Update Date: 02/05/2026
Medicare PECOS Information:
- PECOS PAC ID: 2961898911
- Enrollment ID: I20240911000721
Medical Identifiers
Medical identifiers for Mckinley Marseille such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700556776 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 28268295A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209025510 (Illinois) | Primary |
| 163WC0200X | Registered Nurse - Critical Care Medicine | 28268295A (Indiana) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Illinois Gastroenterology Group Llc | 5193857423 | 120 |
| Windy City Anesthesia Pc | 9234033572 | 40 |
| Northstar Anesthesia Of Indiana Llc | 1153576905 | 134 |
| Anesthesia Dynamics Llc | 3779832530 | 860 |
| Redreef Anesthesia Associates Chartered Indiana Llc | 7012459647 | 35 |
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. Mckinley Marseille allows following entities to bill medicare on his behalf.
| Entity Name | Illinois Gastroenterology Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316277817
PECOS PAC ID: 5193857423
Enrollment ID: O20100721000790 |
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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. Mckinley Marseille 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 |
|---|
Mckinley Marseille, APRN, CRNA
2500 W Reynolds St,
Pontiac, IL 61764-9774
Ph: (815) 842-2828 | Mckinley Marseille, APRN, CRNA
2500 W Reynolds St,
Pontiac, IL 61764-9774
Ph: (815) 842-2828 |
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