Dr Paul F Ploegman, MD - Medicare Pediatrics in Carbondale, IL

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Dr Paul F Ploegman, MD is a medicare enrolled "Pediatrics" physician in Carbondale, Illinois. His current practice location is 1111 Cedar Ct, Carbondale, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 529-8687.

Dr Paul F Ploegman is licensed to practice in Illinois (license number 036074348) 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 1871517466.

Contact Information

Dr Paul F Ploegman, MD
1111 Cedar Ct,
Carbondale, IL 62901-5333
(618) 529-8687
(618) 529-8688

Map and Direction




Physician's Profile

Full NameDr Paul F Ploegman
GenderMale
SpecialityPediatrics
Location1111 Cedar Ct, Carbondale, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871517466
  • Provider Enumeration Date: 07/27/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1658630504
  • Enrollment ID: I20190213002462

Medical Identifiers

Medical identifiers for Dr Paul F Ploegman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871517466NPI-NPPES
036074348MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 036074348 (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 Paul F Ploegman allows following entities to bill medicare on his behalf.
Entity NameSidney Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376617191
PECOS PAC ID: 0749181535
Enrollment ID: O20040115000513
Entity NameSidney Health Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1285719161
PECOS PAC ID: 0749181535
Enrollment ID: O20061104000419
Entity NameScl Health Medical Group-butte Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477869600
PECOS PAC ID: 2466633102
Enrollment ID: O20110301000023

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 Paul F Ploegman 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 Paul F Ploegman, MD
1111 Cedar Ct,
Carbondale, IL 62901-5333

Ph: (618) 529-8687		Dr Paul F Ploegman, MD
1111 Cedar Ct,
Carbondale, IL 62901-5333

Ph: (618) 529-8687

Reviews and Comments


Pediatrics Doctors in Carbondale, IL

Dr. Kathryn Churling, M.D.
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Practice Location: 2601 W Main St, Carbondale, IL 62901
Phone: 618-549-5361    Fax: 618-549-5128
Dr. Timothy Allotey Pappoe, MD
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Medicare: Medicare Enrolled
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    
Dr. Tandy Korte, M.D.
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Medicare: Medicare Enrolled
Practice Location: 2601 W Main St, Carbondale, IL 62901
Phone: 618-549-5361    Fax: 618-351-4878
Poonam Thakore, M.D.
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Medicare: Medicare Enrolled
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    
Dr. William Chotas, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    Fax: 618-529-0549
Dr. Amanda Jane Bleichner, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2601 W Main St, Carbondale, IL 62901
Phone: 618-549-5361    Fax: 618-351-4878
Tamara Buckles, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2601 W Main St, Carbondale, IL 62901
Phone: 618-549-5361    Fax: 618-351-4878

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.

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