David J Kowalski, MD - Medicare Internal Medicine in Effingham, IL

David J Kowalski, MD is a medicare enrolled "Internal Medicine" physician in Effingham, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Springfield Clinic Llp and his current practice location is 300 N Maple St, Effingham, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 342-4151.

David J Kowalski is licensed to practice in Illinois (license number 036089116) 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 1538194600.

Contact Information

David J Kowalski, MD
300 N Maple St,
Effingham, IL 62401-2003
(217) 342-4151
(217) 342-9336

Map and Direction




Physician's Profile

Full NameDavid J Kowalski
GenderMale
SpecialityInternal Medicine
Experience28 Years
Location300 N Maple St, Effingham, 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:
  • David J Kowalski attended and graduated from Southern Illinois University School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1538194600
  • Provider Enumeration Date: 07/11/2006
  • Last Update Date: 05/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2668433129
  • Enrollment ID: I20050211000218

Medical Identifiers

Medical identifiers for David J Kowalski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538194600NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 036089116 (Illinois)Secondary
207R00000XInternal Medicine 036089116 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hshs Home Care Southern IllinoisEffingham, ILHome health agency
Hshs Hospice Southern IllinoisEffingham, ILHospice
St Anthonys Memorial HospitalEffingham, ILHospital
Sarah Bush Lincoln Health CenterMattoon, ILHospital
Lakeland Rehab & Healthcare CenterEffingham, ILNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Springfield Clinic Llp0547166076673

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. David J Kowalski allows following entities to bill medicare on his behalf.
Entity NameSt Anthony's Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306800602
PECOS PAC ID: 2365341211
Enrollment ID: O20040108000741
Entity NameSpringfield Clinic Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780638478
PECOS PAC ID: 0547166076
Enrollment ID: O20040331000826

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. David J Kowalski 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
David J Kowalski, MD
1025 S 6th St,
Springfield, IL 62703-2403

Ph: (217) 528-7541
David J Kowalski, MD
300 N Maple St,
Effingham, IL 62401-2003

Ph: (217) 342-4151

Reviews and Comments


Internal Medicine Doctors in Effingham, IL

Nitin Kumar, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 900 W Temple Ave Ste 2500, Effingham, IL 62401
Phone: 217-540-2350    Fax: 217-347-2323
Dr. Lizzette Colon-ramos, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1901 S 4th St, Ste 21, Va Effingham Cboc, Effingham, IL 62401
Phone: 217-347-7600    Fax: 217-342-9733
Chariece Lasalle Robinson, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 503 N Maple St, Effingham, IL 62401
Phone: 217-347-6127    Fax: 217-347-1538
Dr. Rita Waleska Maldonado, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1011 Ford Ave, Effingham, IL 62401
Phone: 217-347-7600    
Dr. Jennifer C Maneja, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 300 N Maple St, Effingham, IL 62401
Phone: 217-342-4151    Fax: 217-347-8955
Howard B Chodash, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 900 W Temple Ave Ste 2500, Effingham, IL 62401
Phone: 217-540-2350    Fax: 217-347-2323
Dr. Jessica Jean Prange, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 503 N Maple St, Effingham, IL 62401
Phone: 217-342-2121    Fax: 217-347-1563

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.