Diana Goodwine, MD - Medicare Emergency Medicine in Ottawa, IL

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Diana Goodwine, MD is a medicare enrolled "Emergency Medicine" physician in Ottawa, Illinois. She went to Medical College Of Georgia School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Cepamerica Illinois Llp, Osf Multi-specialty Group and her current practice location is 1100 E Norris Dr, Ottawa, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 433-3100.

Diana Goodwine is licensed to practice in Illinois (license number 036.125142) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780840397.

Contact Information

Diana Goodwine, MD
1100 E Norris Dr,
Ottawa, IL 61350-1604
(815) 433-3100
(815) 433-0879

Map and Direction




Physician's Profile

Full NameDiana Goodwine
GenderFemale
SpecialityEmergency Medicine
Experience17 Years
Location1100 E Norris Dr, Ottawa, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Diana Goodwine attended and graduated from Medical College Of Georgia School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1780840397
  • Provider Enumeration Date: 08/03/2008
  • Last Update Date: 11/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3173717519
  • Enrollment ID: I20101029001343

Medical Identifiers

Medical identifiers for Diana Goodwine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780840397NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A12805 (California)Secondary
207P00000XEmergency Medicine 01093580A (Indiana)Secondary
207P00000XEmergency Medicine 036.125142 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Francis HospitalLitchfield, ILHospital
Macneal HospitalBerwyn, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cepamerica Illinois Llp3274793633417
Osf Multi-specialty Group36788897891552

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. Diana Goodwine allows following entities to bill medicare on her behalf.
Entity NameCepamerica Illinois Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912283110
PECOS PAC ID: 3274793633
Enrollment ID: O20120322000587
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279
Entity NameVituity - Illinois Auc Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306334198
PECOS PAC ID: 0547516932
Enrollment ID: O20180627000637

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. Diana Goodwine 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
Diana Goodwine, MD
1100 E Norris Dr,
Ottawa, IL 61350-1604

Ph: (815) 433-3100		Diana Goodwine, MD
1100 E Norris Dr,
Ottawa, IL 61350-1604

Ph: (815) 433-3100

Reviews and Comments


Emergency Medicine Doctors in Ottawa, IL

Dr. Anastasia Lvovna Khoubaeva, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1100 E Norris Dr, Ottawa, IL 61350
Phone: 815-433-3100    Fax: 815-433-0879
Riley James Liptak, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1100 E Norris Dr, Ottawa, IL 61350
Phone: 815-433-3100    Fax: 815-433-0879
Dr. Sheera Lall, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1100 E Norris Dr, Ottawa, IL 61350
Phone: 815-433-3100    
Michael Thomas Monticciolo, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1100 E Norris Dr, Ottawa, IL 61350
Phone: 815-433-3100    Fax: 815-433-0879

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.