Dominique K Fons, MD - Medicare Family Practice in Urbana, IL

  1. Home
  2. Family Medicine
  3. IL
  4. Urbana
Dominique K Fons, MD is a medicare enrolled "Family Medicine" physician in Urbana, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Methodist Medical Center Of Illinois and her current practice location is 611 W Park St, Urbana, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 383-3170.

Dominique K Fons is licensed to practice in Illinois (license number 036127508) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1134391881.

Contact Information

Dominique K Fons, MD
611 W Park St,
Urbana, IL 61801-2500
(217) 383-3170
(217) 383-7650

Map and Direction




Physician's Profile

Full NameDominique K Fons
GenderFemale
SpecialityFamily Practice
Experience16 Years
Location611 W Park St, Urbana, Illinois
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dominique K Fons attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2008
  NPI Data:
  • NPI Number: 1134391881
  • Provider Enumeration Date: 04/01/2008
  • Last Update Date: 09/23/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7810168614
  • Enrollment ID: I20110928000419

Medical Identifiers

Medical identifiers for Dominique K Fons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134391881NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036127508 (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
Methodist Medical Center Of Illinois1355259714246

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. Dominique K Fons allows following entities to bill medicare on her 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

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. Dominique K Fons 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
Dominique K Fons, MD
611 W. Park St, Bwpc,
Urbana, IL 61803-6002

Ph: (217) 383-6792		Dominique K Fons, MD
611 W Park St,
Urbana, IL 61801-2500

Ph: (217) 383-3170

Reviews and Comments


Family Medicine Doctors in Urbana, IL

Anuja Bedi, D.O, M.P.H
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3311    
Timtim Apperson, APRN
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-954-2805    
Sharon L. Moy, D.O
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1109 S Lincoln Ave, Urbana, IL 61801
Phone: 217-244-5324    
Simone R Hampton, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3170    Fax: 217-383-7650
Manada Khaing, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3311    
Stephen M Rudawski, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 611 W. Park St., Urbana, IL 61801
Phone: 217-383-3170    Fax: 217-383-7650
Christian E Wagner, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1818 E Windsor Rd, Urbana, IL 61802
Phone: 217-255-9670    Fax: 217-255-9650

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.