Dr Mark Montefolka, MD - Medicare Family Practice in Peoria Heights, IL

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Dr Mark Montefolka, MD is a medicare enrolled "Family Medicine" physician in Peoria Heights, Illinois. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Proctor Health Systems and his current practice location is 1120 E War Memorial Dr, Peoria Heights, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 685-0100.

Dr Mark Montefolka is licensed to practice in Illinois (license number 036110139) 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 1114026754.

Contact Information

Dr Mark Montefolka, MD
1120 E War Memorial Dr,
Peoria Heights, IL 61616
(309) 685-0100
(309) 685-0172

Map and Direction




Physician's Profile

Full NameDr Mark Montefolka
GenderMale
SpecialityFamily Practice
Experience25 Years
Location1120 E War Memorial Dr, Peoria Heights, Illinois
Accepts Medicare AssignmentsYes. 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 Mark Montefolka graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1114026754
  • Provider Enumeration Date: 09/21/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7214905728
  • Enrollment ID: I20040922000841

Medical Identifiers

Medical identifiers for Dr Mark Montefolka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114026754NPI-NPPES
K09678OtherILPIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036110139 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St. Francis Medical CenterPeoria, ILHome health agency
Methodist Medical Center Of IllinoisPeoria, ILHospital
Proctor HospitalPeoria, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Proctor Health Systems3476440173124

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 Mark Montefolka allows following entities to bill medicare on his behalf.
Entity NameProctor Health Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134173917
PECOS PAC ID: 3476440173
Enrollment ID: O20040227000906
Entity NameBelcrest Services Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245275312
PECOS PAC ID: 9335037217
Enrollment ID: O20040310001103

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 Mark Montefolka 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 Mark Montefolka, MD
1120 E War Memorial Dr,
Peoria Heights, IL 61616

Ph: (309) 685-0100		Dr Mark Montefolka, MD
1120 E War Memorial Dr,
Peoria Heights, IL 61616

Ph: (309) 685-0100

Reviews and Comments


Family Medicine Doctors in Peoria Heights, IL

Dr. Jumuna Patel, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1120 E War Memorial Dr, Peoria Heights, IL 61616
Phone: 309-685-0100    Fax: 309-685-0172
Dr. Eldon Samuel, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1120 E War Memorial Dr, Peoria Heights, IL 61616
Phone: 309-685-0100    Fax: 309-685-0172
Dr. James D Ausfahl, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1120 E War Memorial Dr, Peoria Heights, IL 61616
Phone: 309-685-0100    Fax: 309-685-0172
Dr. Ioan Mosoiu, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1120 E War Memorial Dr, Peoria Heights, IL 61616
Phone: 309-685-0100    Fax: 309-685-0172

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.