Dr Kody Duane Dormire, DO in Peoria, IL - Medicare Internal Medicine

Dr Kody Duane Dormire, DO is a medicare enrolled "Internal Medicine" physician in Peoria, Illinois. His current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 655-4940.

Dr Kody Duane Dormire is licensed to practice in Illinois (license number 036162380) 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 1083241293.

Contact Information

	Dr Kody Duane Dormire, DO
	530 Ne Glen Oak Ave, Peoria, IL 61637-0001
	(309) 655-4940
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kody Duane Dormire
Gender	Male
Speciality	Internal Medicine
Location	530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083241293
Provider Enumeration Date: 03/26/2020
Last Update Date: 10/03/2024

Medicare PECOS Information:

PECOS PAC ID: 8527488253
Enrollment ID: I20230504000843

Medical Identifiers

Medical identifiers for Dr Kody Duane Dormire such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083241293	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036162380 (Illinois)	Secondary
207R00000X	Internal Medicine	036162380 (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 Kody Duane Dormire allows following entities to bill medicare on his behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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 Kody Duane Dormire 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 Kody Duane Dormire, DO 400 E Cedar St, Perry, OK 73077-7833 Ph: (580) 336-7670	Dr Kody Duane Dormire, DO 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-4940

Reviews and Comments

Internal Medicine Doctors in Peoria, IL

Sandeep Banga, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732
Riaz Shah, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Suite 504, Peoria, IL 61636 Phone: 309-672-5729
Dr. James Daniel Dewar, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7257
Waqas Ali, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522
Dr. Sudhir Mungee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5405 North Knoxville Avenue, Peoria, IL 61614 Phone: 309-691-4410 Fax: 309-589-2830
Dr. Nikesh Kavi Patel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732
Dr. Bhanu T Paturi, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5105 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-8383

Dr Kody Duane Dormire, DO - Medicare Internal Medicine in Peoria, IL