Dr Derrick E Rollo, DO - Medicare Pediatrics in Urbana, IL

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Dr Derrick E Rollo, DO is a medicare enrolled "Pediatrics" physician in Urbana, Illinois. His current practice location is 611 W Park St, Urbana, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 383-3311.

Dr Derrick E Rollo is licensed to practice in Illinois (license number 036122306) 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 1881891471.

Contact Information

Dr Derrick E Rollo, DO
611 W Park St,
Urbana, IL 61801-2529
(217) 383-3311
(217) 383-3463

Map and Direction




Physician's Profile

Full NameDr Derrick E Rollo
GenderMale
SpecialityPediatrics
Location611 W Park St, Urbana, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881891471
  • Provider Enumeration Date: 06/28/2007
  • Last Update Date: 01/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5395900336
  • Enrollment ID: I20140710001082

Medical Identifiers

Medical identifiers for Dr Derrick E Rollo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881891471NPI-NPPES
201060370MedicaidIN
000000761884OtherINANTHEM PROVIDER NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 125-051736 (Illinois)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 02004004A (Indiana)Secondary
208000000XPediatrics 036122306 (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 Derrick E Rollo allows following entities to bill medicare on his behalf.
Entity NameHoopeston Community Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366480873
PECOS PAC ID: 3577456037
Enrollment ID: O20040210000011
Entity NameRichland Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467492124
PECOS PAC ID: 3870565732
Enrollment ID: O20040811000131
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829
Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147

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 Derrick E Rollo 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
Dr Derrick E Rollo, DO
611 W Park St, Bwpc,
Urbana, IL 61801-2529

Ph: (217) 383-6792		Dr Derrick E Rollo, DO
611 W Park St,
Urbana, IL 61801-2529

Ph: (217) 383-3311

Reviews and Comments


Pediatrics Doctors in Urbana, IL

Dr. Jacqueline Pena Velasco, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3088    Fax: 217-383-4468
Sarah J Willard, MD
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Practice Location: 1710 E Windsor Rd, Urbana, IL 61802
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Jaya Wadhawan,
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Phone: 217-560-6300    
Dr. Elizabeth A Bello, M.D.
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Medicare: Medicare Enrolled
Practice Location: 611 W Park St, Pediatric Critical Care Medicine, Urbana, IL 61801
Phone: 217-383-3088    
Malcolm C Hill, MD
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Medicare: Medicare Enrolled
Practice Location: 1818 E Windsor Rd, Urbana, IL 61802
Phone: 217-255-9700    Fax: 217-255-9650
Dr. Pramod Mallipaddi, MD
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Medicare: Medicare Enrolled
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3311    
Dr. Imran Malik, MD
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Medicare: Medicare Enrolled
Practice Location: 1400 W Park St, Urbana, IL 61801
Phone: 315-350-9133    

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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.

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