Carlos Miguel Avila, MD - Medicare Family Practice in Springfield, IL

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Carlos Miguel Avila, MD is a medicare enrolled "Family Medicine" physician in Springfield, Illinois. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Proctor Health Systems and his current practice location is 520 N 4th St, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 757-8100.

Carlos Miguel Avila is licensed to practice in Illinois (license number 125.065885) 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 1386059624.

Contact Information

Carlos Miguel Avila, MD
520 N 4th St,
Springfield, IL 62702-5238
(217) 757-8100
(217) 757-8161

Map and Direction




Physician's Profile

Full NameCarlos Miguel Avila
GenderMale
SpecialityFamily Practice
Experience19 Years
Location520 N 4th St, Springfield, 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:
  • Carlos Miguel Avila graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1386059624
  • Provider Enumeration Date: 06/25/2014
  • Last Update Date: 06/25/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9133345762
  • Enrollment ID: I20160927000248

Medical Identifiers

Medical identifiers for Carlos Miguel Avila such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386059624NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 125.065885 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Methodist Medical Center Of IllinoisPeoria, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Proctor Health Systems3476440173124

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. Carlos Miguel Avila allows following entities to bill medicare on his behalf.
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 NameBelcrest Services Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245275312
PECOS PAC ID: 9335037217
Enrollment ID: O20040310001103
Entity NameHammond Henry Dist Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457344491
PECOS PAC ID: 0143115949
Enrollment ID: O20071211000175

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. Carlos Miguel Avila 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
Carlos Miguel Avila, MD
520 N 4th St,
Springfield, IL 62702-5238

Ph: (217) 757-8100		Carlos Miguel Avila, MD
520 N 4th St,
Springfield, IL 62702-5238

Ph: (217) 757-8100

Reviews and Comments


Family Medicine Doctors in Springfield, IL

Dr. Kaitlin Delaney Henry, M.D.
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Mark T. Mckay, M.D.
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Mrs. Lacey Dively Moy, MD
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Phone: 217-588-7400    Fax: 217-588-7439
Dr. Hari Iyengar, MD
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Practice Location: 520 N 4th St, Springfield, IL 62702
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Dr. Jamie Wallman, MD
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Practice Location: 319 E Madison St Ste 1f, Springfield, IL 62701
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Janet R Albers, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 520 N 4th St, Springfield, IL 62702
Phone: 217-545-8000    Fax: 217-757-8161

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.