Dr Mark Phillip Gaudio, MD - Medicare Emergency Medicine in Peoria, IL

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Dr Mark Phillip Gaudio, MD is a medicare enrolled "Emergency 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) 655-6710.

Dr Mark Phillip Gaudio is licensed to practice in Illinois (license number 036-121441) 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 1053514414.

Contact Information

Dr Mark Phillip Gaudio, MD
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001
(309) 655-6710
Not Available

Map and Direction




Physician's Profile

Full NameDr Mark Phillip Gaudio
GenderMale
SpecialityEmergency Medicine
Location530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053514414
  • Provider Enumeration Date: 06/05/2007
  • Last Update Date: 12/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6103982483
  • Enrollment ID: I20090312000034

Medical Identifiers

Medical identifiers for Dr Mark Phillip Gaudio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053514414NPI-NPPES
809840OtherILGROUP MEDICARE NUMBER
809840036OtherILINDIVIDUAL MEDICARE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 125-051037 (Illinois)Secondary
207P00000XEmergency Medicine 036-121441 (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 Mark Phillip Gaudio allows following entities to bill medicare on his behalf.
Entity NameSarah Bush Lincoln Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669564662
PECOS PAC ID: 5092614867
Enrollment ID: O20031231000478
Entity NameOttawa Regional Hospital & Healthcare Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306971080
PECOS PAC ID: 9133029861
Enrollment ID: O20040109000910
Entity NameSt. Joseph Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871547414
PECOS PAC ID: 8921901620
Enrollment ID: O20040129001106
Entity NameSaint James Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790735421
PECOS PAC ID: 0648187252
Enrollment ID: O20040804001073
Entity NameSt Mary Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962467670
PECOS PAC ID: 8628038015
Enrollment ID: O20041011000420
Entity NameSaint Francis Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023062312
PECOS PAC ID: 9032021258
Enrollment ID: O20080303000228
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 Mark Phillip Gaudio 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 Phillip Gaudio, MD
104 Wildflower Ave,
Metamora, IL 61548-8656

Ph: (309) 383-2044		Dr Mark Phillip Gaudio, MD
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001

Ph: (309) 655-6710

Reviews and Comments


Emergency Medicine Doctors in Peoria, IL

Dr. Austin Lamb, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 530 N.e. Glen Oak Avenue, Osf St. Francis, Emergency Medicine Residency Program, Peoria, IL 61637
Phone: 309-655-7257    
Philip A Fifield, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2553    Fax: 309-655-2602
Dr. Anthony J Buecker, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636
Phone: 309-672-5500    
Michael M Raso, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1115 N Bourland Ave, Peoria, IL 61606
Phone: 309-264-0730    
Ryan Newberger, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 248-207-2018    
Craig D Koch, M.D
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-7257    

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.