Donald A Mitzelfelt, MD is a medicare enrolled "Orthopaedic Surgery" physician in Pekin, Illinois. He went to Loma Linda University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Midwest Orthopaedic Center S C and his current practice location is
2351 Broadway St, Pekin, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 353-4159.
Donald A Mitzelfelt is licensed to practice in Illinois (license number 036088541) 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 1962454983.
Physician's Profile
| Full Name | Donald A Mitzelfelt |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 35 Years |
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| Location | 2351 Broadway St, Pekin, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Donald A Mitzelfelt attended and graduated from Loma Linda University School Of Medicine in 1989
NPI Data:
- NPI Number: 1962454983
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 12/31/2019
Medicare PECOS Information:
- PECOS PAC ID: 5799790713
- Enrollment ID: I20060213000658
Medical Identifiers
Medical identifiers for Donald A Mitzelfelt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962454983 | NPI | - | NPPES |
| P00282243 | Other | IL | RAIL ROAD MEDICARE PIN |
| 09015685 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036088541 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 036088541 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Midwest Orthopaedic Center S C | 8022917715 | 41 |
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. Donald A Mitzelfelt allows following entities to bill medicare on his behalf.
| Entity Name | Midwest Orthopaedic Center S C |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710938006
PECOS PAC ID: 8022917715
Enrollment ID: O20040106000226 |
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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. Donald A Mitzelfelt 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 |
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Donald A Mitzelfelt, MD
2351 Broadway St,
Pekin, IL 61554-3972
Ph: (309) 353-4159 | Donald A Mitzelfelt, MD
2351 Broadway St,
Pekin, IL 61554-3972
Ph: (309) 353-4159 |
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