Dr Merrit Marion Debartolo, MD is a medicare enrolled "Urology" physician in Woodstock, Illinois. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Urology. He is a member of the group practice Mercy Health System Corporation and his current practice location is
2000 Lake Ave, Woodstock, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 337-7100.
Dr Merrit Marion Debartolo is licensed to practice in Illinois (license number 036-140512) 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 1427379189.
Physician's Profile
| Full Name | Dr Merrit Marion Debartolo |
|---|
| Gender | Male |
|---|
| Speciality | Urology |
|---|
| Experience | 14 Years |
|---|
| Location | 2000 Lake Ave, Woodstock, 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 Merrit Marion Debartolo graduated from medical school in 2010
NPI Data:
- NPI Number: 1427379189
- Provider Enumeration Date: 06/17/2010
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 0941595631
- Enrollment ID: I20171117001343
Medical Identifiers
Medical identifiers for Dr Merrit Marion Debartolo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427379189 | NPI | - | NPPES |
| 1427379189 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 036-140512 (Illinois) | Primary |
| 208800000X | Urology | 65614 (Wisconsin) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mercy Health System Corporation | 7416860440 | 475 |
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 Merrit Marion Debartolo allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Health System Corporation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031111000307 |
|---|
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 Merrit Marion Debartolo 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 Merrit Marion Debartolo, MD
2000 Lake Ave,
Woodstock, IL 60098-7401
Ph: (815) 337-7100 | Dr Merrit Marion Debartolo, MD
2000 Lake Ave,
Woodstock, IL 60098-7401
Ph: (815) 337-7100 |
Reviews and Comments