Dr Daniel Adam Wooldridge, MD in Bloomington, IL

Dr Daniel Adam Wooldridge, MD is a medicare enrolled "Family Medicine" physician in Bloomington, Illinois. His current practice location is 2502 E Empire St, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 300-1031.

Dr Daniel Adam Wooldridge is licensed to practice in Illinois (license number 036167423) 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 1477129419.

Contact Information

	Dr Daniel Adam Wooldridge, MD
	2502 E Empire St, Bloomington, IL 61704-3738
	(309) 300-1031
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Daniel Adam Wooldridge
Gender	Male
Speciality	Family Medicine
Location	2502 E Empire St, Bloomington, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477129419
Provider Enumeration Date: 06/01/2021
Last Update Date: 08/27/2024

Medicare PECOS Information:

PECOS PAC ID: 0143622944
Enrollment ID: I20240402000830

Medical Identifiers

Medical identifiers for Dr Daniel Adam Wooldridge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477129419	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036167423 (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 Daniel Adam Wooldridge allows following entities to bill medicare on his behalf.

Entity Name	Christie Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20031103000332

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 Daniel Adam Wooldridge 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 Daniel Adam Wooldridge, MD 101 W University Ave, Champaign, IL 61820-3981 Ph: (309) 300-1031	Dr Daniel Adam Wooldridge, MD 2502 E Empire St, Bloomington, IL 61704-3738 Ph: (309) 300-1031

Reviews and Comments

Family Medicine Doctors in Bloomington, IL

Dr. Justin James Holschbach, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 308 Saint Joseph Dr, Bloomington, IL 61701 Phone: 309-663-5050 Fax: 309-662-3401
Jermy Enrique Crespo Gonzalez, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 East Washington Street, Bloomington, IL 61701 Phone: 309-665-5996
Stephen Belgrave, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3170
Daniel Marley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3170
Mfowethu Theophilus Langeni, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 210 Saint Joseph Dr, Bloomington, IL 61701 Phone: 309-663-5050 Fax: 309-662-3401
Shilpa Mehta, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Bloomington, IL 61701 Phone: 309-663-2100 Fax: 309-663-8322
Kenneth Wayne Birge Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2502 E Empire St, Bloomington, IL 61704 Phone: 309-300-1031

Dr Daniel Adam Wooldridge, MD - Medicare Family Medicine in Bloomington, IL