Dr Adam T Angelilli, MD is a medicare enrolled "Pediatrics" physician in Freeport, Illinois. His current practice location is
1010 W Fairway Dr, 2nd Floor (pediatrics), Freeport, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 599-7755.
Dr Adam T Angelilli is licensed to practice in Illinois (license number 036.122065) 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 1144478173.
Physician's Profile
Full Name | Dr Adam T Angelilli |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 1010 W Fairway Dr, Freeport, 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: 1144478173
- Provider Enumeration Date: 09/03/2008
- Last Update Date: 06/01/2011
Medicare PECOS Information:
- PECOS PAC ID: 2860521952
- Enrollment ID: I20100527000849
Medical Identifiers
Medical identifiers for Dr Adam T Angelilli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144478173 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 036.122065 (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. Dr Adam T Angelilli allows following entities to bill medicare on his behalf.
Entity Name | Freeport Regional Health Care Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457337016 PECOS PAC ID: 9234041682 Enrollment ID: O20031104000182 |
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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. Dr Adam T Angelilli 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 |
Dr Adam T Angelilli, MD 1010 W Fairway Dr, 2nd Floor (pediatrics), Freeport, IL 61032-6600 Ph: (815) 599-7755 | Dr Adam T Angelilli, MD 1010 W Fairway Dr, 2nd Floor (pediatrics), Freeport, IL 61032-6600 Ph: (815) 599-7755 |
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