Dr Mitchell S King, MD in Rockford, IL - Medicare Family Practice

Dr Mitchell S King, MD is a medicare enrolled "Family Medicine" physician in Rockford, Illinois. He went to Ohio State University College Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice The Board Of Trustees Of The University Of Illinois and his current practice location is 1221 E State St, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 972-1000.

Dr Mitchell S King is licensed to practice in Illinois (license number 036092084) 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 1225038276.

Contact Information

	Dr Mitchell S King, MD
	1221 E State St, Rockford, IL 61104-2231
	(815) 972-1000
	(815) 972-1033

Map and Direction

Physician's Profile

Full Name	Dr Mitchell S King
Gender	Male
Speciality	Family Practice
Experience	39 Years
Location	1221 E State St, Rockford, 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 Mitchell S King attended and graduated from Ohio State University College Of Medicine in 1985

NPI Data:

NPI Number: 1225038276
Provider Enumeration Date: 07/29/2005
Last Update Date: 11/02/2023

Medicare PECOS Information:

PECOS PAC ID: 2163413659
Enrollment ID: I20040522000250

Medical Identifiers

Medical identifiers for Dr Mitchell S King such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225038276	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036092084 (Illinois)	Primary
207Q00000X	Family Medicine	40031-20 (Wisconsin)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Swedish American Hospital	Rockford, IL	Hospital
University Of Illinois Hospital	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Board Of Trustees Of The University Of Illinois	3072422716	923

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 Mitchell S King allows following entities to bill medicare on his behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306486022 PECOS PAC ID: 3072422716 Enrollment ID: O20210706000302

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 Mitchell S King 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 Mitchell S King, MD 1601 Parkview Ave, Credentialing S200c, Rockford, IL 61107-1822 Ph: (815) 395-5861	Dr Mitchell S King, MD 1221 E State St, Rockford, IL 61104-2231 Ph: (815) 972-1000

Reviews and Comments

Family Medicine Doctors in Rockford, IL

Srivani Sridhar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3505 N. Bell School Rd., Rockford, IL 61114 Phone: 779-696-0300
Dr. John Wall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600
Dr. Steven J Lidvall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 N Alpine Rd, Rockford, IL 61107 Phone: 815-391-7807
Dr. Arpana Broor Mathur, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 698 Featherstone Rd, Suite 250, Rockford, IL 61107 Phone: 815-399-4404 Fax: 815-484-7091
Ms. Rachael Mcpeek, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 1215 N Alpine Rd, Rockford, IL 61107 Phone: 815-490-1600
Dr. Jithinraj Edakkanambeth Varayil, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881
Dr. Raju M Shanmugam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 N Perryville Rd, Rockford, IL 61114 Phone: 815-971-2000 Fax: 815-971-2000

Dr Mitchell S King, MD - Medicare Family Practice in Rockford, IL