Denise M Mammolito, MD is a medicare enrolled "Surgery" physician in Dunlap, Illinois. Her current practice location is
12507 N Hickory Grove Rd, Dunlap, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 696-1085.
Denise M Mammolito is licensed to practice in Illinois (license number 036082251) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972604221.
Physician's Profile
Full Name | Denise M Mammolito |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 12507 N Hickory Grove Rd, Dunlap, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Denise M Mammolito attended and graduated from in
NPI Data:
- NPI Number: 1972604221
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 01/16/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Denise M Mammolito such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972604221 | NPI | - | NPPES |
7215166 | Other | IL | BCBS OF ILLINOIS |
K35445 | Other | IL | MEDICARE ID, TYPE UNSPEC |
036082251 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 036082251 (Illinois) | Primary |
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. Denise M Mammolito 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 |
Denise M Mammolito, MD 12507 N Hickory Grove Rd, Dunlap, IL 61525-9411 Ph: (309) 696-1085 | Denise M Mammolito, MD 12507 N Hickory Grove Rd, Dunlap, IL 61525-9411 Ph: (309) 696-1085 |
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