Dr Jonathan Roderick Dutt, MD in Decatur, IL

Dr Jonathan Roderick Dutt, MD is a medicare enrolled "Internal Medicine" physician in Decatur, Illinois. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Board Of Trustees Of Southern Illinois University and his current practice location is 102 W Kenwood Ave, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 545-8000.

Dr Jonathan Roderick Dutt is licensed to practice in Illinois (license number 036-151311) 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 1497277263.

Contact Information

	Dr Jonathan Roderick Dutt, MD
	102 W Kenwood Ave, Decatur, IL 62526-4368
	(217) 545-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jonathan Roderick Dutt
Gender	Male
Speciality	Family Practice
Experience	9 Years
Location	102 W Kenwood Ave, Decatur, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jonathan Roderick Dutt graduated from medical school in 2015

NPI Data:

NPI Number: 1497277263
Provider Enumeration Date: 07/12/2017
Last Update Date: 05/04/2020

Medicare PECOS Information:

PECOS PAC ID: 8224309950
Enrollment ID: I20200724000787

Medical Identifiers

Medical identifiers for Dr Jonathan Roderick Dutt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497277263	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	125.071354 (Illinois)	Secondary
207R00000X	Internal Medicine	036-151311 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Elara Caring V	Springfield, IL	Home health agency
Decatur Memorial Hospital	Decatur, IL	Hospital
St Marys Hospital	Decatur, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Board Of Trustees Of Southern Illinois University	4486667888	96

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 Jonathan Roderick Dutt allows following entities to bill medicare on his behalf.

Entity Name	Board Of Trustees Of Southern Illinois University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019

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 Jonathan Roderick Dutt 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 Jonathan Roderick Dutt, MD Po Box 19639, Springfield, IL 62794-9639 Ph: (217) 545-7578	Dr Jonathan Roderick Dutt, MD 102 W Kenwood Ave, Decatur, IL 62526-4368 Ph: (217) 545-8000

Reviews and Comments

Internal Medicine Doctors in Decatur, IL

Dr. Jeffrey P Wilson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121
Dr. Jeanne Marie Kairouz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1770 E Lake Shore Dr Ste 105, Decatur, IL 62521 Phone: 217-422-6100
Dr. Stephen R Goetter, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 304 W Hay St, Ste 312, Decatur, IL 62526 Phone: 217-876-5600 Fax: 217-876-5664
Dr. Prameeta Jha, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St Ste 3200, Decatur, IL 62526 Phone: 217-876-3660 Fax: 217-876-3665
David W Baumberger, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 304 W Hay St, Ste 312, Decatur, IL 62526 Phone: 217-876-5600 Fax: 217-876-5664
Dr. Ahmad H Ahmad, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1770 E Lake Shore Dr, Suite 201, Decatur, IL 62521 Phone: 217-428-7921 Fax: 217-428-7931
Nadal M Aker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Suite 2400, Decatur, IL 62526 Phone: 217-876-2400 Fax: 217-876-2405

Dr Jonathan Roderick Dutt, MD - Medicare Family Practice in Decatur, IL