Diana T Widicus, MD is a
Family Medicine physician based in Rochester, Illinois. Diana T Widicus is licensed to practice in Illinois (license number 36062017) and her current practice location is 300 Sattley St, Rochester, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 789-3630.
NPI number for Diana T Widicus is 1851471072 and her current mailing address is 1836 South Macarthur Blvd, Springfield, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851471072.
Physician's Profile
Full Name | Diana T Widicus |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 300 Sattley St, Rochester, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851471072
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 12/30/2021
Medical Identifiers
Medical identifiers for Diana T Widicus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851471072 | NPI | - | NPPES |
8415046 | Other | IL | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 36062017 (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. Diana T Widicus is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Diana T Widicus, MD 1836 South Macarthur Blvd, Springfield, IL 62704 Ph: (217) 789-1403 | Diana T Widicus, MD 300 Sattley St, Rochester, IL 62563-9241 Ph: (217) 789-3630 |
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