Dr Anthony Pendolino, DC, DIPL ACUP is a medicare enrolled "Chiropractor" provider in Plainfield, Illinois. His current practice location is
15715 S Route 59, Plainfield, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 436-1191.
Dr Anthony Pendolino is licensed to practice in Illinois (license number 038-007415) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780779975.
Healthcare Provider's Profile
Full Name | Dr Anthony Pendolino |
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Gender | Male |
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Speciality | Chiropractor |
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Location | 15715 S Route 59, Plainfield, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780779975
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 07/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 8325066962
- Enrollment ID: I20051102001038
Medical Identifiers
Medical identifiers for Dr Anthony Pendolino such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780779975 | NPI | - | NPPES |
5797137 | Other | IL | AENTA |
099-05743 | Other | IL | BC/BS |
318-6341 | Other | IL | CIGNA |
350039985 | Other | IL | RAILROAD MEDICARE |
200511800 | Other | IL | OWCP |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 198-00373 (Illinois) | Secondary |
111N00000X | Chiropractor | 038-007415 (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. Dr Anthony Pendolino allows following entities to bill medicare on his behalf.
Provider Name | Dr Anthony Pendolino Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1508049149 PECOS PAC ID: 8426076068 Enrollment ID: O20051102000980 |
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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. Dr Anthony Pendolino 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 |
Dr Anthony Pendolino, DC, DIPL ACUP 15715 S Route 59, Plainfield, IL 60544 Ph: (815) 436-1191 | Dr Anthony Pendolino, DC, DIPL ACUP 15715 S Route 59, Plainfield, IL 60544 Ph: (815) 436-1191 |
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