Dr Juan M Medina, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Carlinville, Illinois. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Psychological Associates Of Central Illinois Ltd, Locust Street Resource Center and his current practice location is
320 S Locust St, Carlinville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 854-3166.
Dr Juan M Medina is licensed to practice in Illinois (license number ) 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 1265485106.
Physician's Profile
| Full Name | Dr Juan M Medina |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 39 Years |
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| Location | 320 S Locust St, Carlinville, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Juan M Medina graduated from medical school in 1985
NPI Data:
- NPI Number: 1265485106
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 03/12/2008
Medicare PECOS Information:
- PECOS PAC ID: 1153351648
- Enrollment ID: I20050815000651
Medical Identifiers
Medical identifiers for Dr Juan M Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265485106 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Psychological Associates Of Central Illinois Ltd | 1355318825 | 7 |
| Locust Street Resource Center | 6002846599 | 2 |
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 Juan M Medina allows following entities to bill medicare on his behalf.
| Entity Name | Psychological Associates Of Central Illinois Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376698050
PECOS PAC ID: 1355318825
Enrollment ID: O20040914000634 |
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| Entity Name | Locust Street Resource Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558456210
PECOS PAC ID: 6002846599
Enrollment ID: O20050815000615 |
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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 Juan M Medina 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 |
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Dr Juan M Medina, MD
320 S Locust St,
Carlinville, IL 62626-1648
Ph: (217) 854-3166 | Dr Juan M Medina, MD
320 S Locust St,
Carlinville, IL 62626-1748
Ph: (217) 854-3166 |
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