David K Israel, DO is a medicare enrolled "Pediatrics" physician in Fairfield, Illinois. His current practice location is
209 Nw 11th St, # 209, Fairfield, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 842-4470.
David K Israel is licensed to practice in Illinois (license number 036104743) 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 1275539918.
Physician's Profile
Full Name | David K Israel |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 209 Nw 11th St, Fairfield, 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: 1275539918
- Provider Enumeration Date: 06/27/2005
- Last Update Date: 06/19/2012
Medicare PECOS Information:
- PECOS PAC ID: 1658400726
- Enrollment ID: I20100527000654
Medical Identifiers
Medical identifiers for David K Israel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275539918 | NPI | - | NPPES |
036104743 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 036104743 (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. David K Israel allows following entities to bill medicare on his behalf.
Entity Name | Christopher Greater Area Rural Health Planning Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073816542 PECOS PAC ID: 8224947387 Enrollment ID: O20040109000561 |
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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. David K Israel 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 |
David K Israel, DO Po Box 155, Christopher, IL 62822-0155 Ph: (618) 724-2401 | David K Israel, DO 209 Nw 11th St, # 209, Fairfield, IL 62837-1218 Ph: (618) 842-4470 |
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