Dr Raymund O Pineda, MD - Medicare Pulmonary Disease in Marion, IL

Dr Raymund O Pineda, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Marion, Illinois. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Physician Services Corporation Of Southern Illinois Inc and his current practice location is 2401 W Main St, Marion, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 997-5311.

Dr Raymund O Pineda is licensed to practice in Illinois (license number 036103774) 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 1841262789.

Contact Information

Dr Raymund O Pineda, MD
2401 W Main St,
Marion, IL 62959-1188
(618) 997-5311
Not Available

Map and Direction




Physician's Profile

Full NameDr Raymund O Pineda
GenderMale
SpecialityPulmonary Disease
Experience36 Years
Location2401 W Main St, Marion, 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 Raymund O Pineda graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1841262789
  • Provider Enumeration Date: 02/05/2006
  • Last Update Date: 09/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5698867034
  • Enrollment ID: I20101213000711

Medical Identifiers

Medical identifiers for Dr Raymund O Pineda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841262789NPI-NPPES
036103774OtherILMARION VA MEDICAL CENTER
036103774MedicaidIL
2005004444OtherMOMEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 036103774 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm Health - Good Samaritan HospitalMount vernon, ILHospital
Pinckneyville Community HospitalPinckneyville, ILHospital
Ssm Health St Mary's Hospital -centraliaCentralia, ILHospital
Franklin HospitalBenton, ILHospital
Clay County HospitalFlora, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physician Services Corporation Of Southern Illinois Inc9234022567100

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 Raymund O Pineda allows following entities to bill medicare on his behalf.
Entity NameFranklin Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255369427
PECOS PAC ID: 4082516042
Enrollment ID: O20040121001102
Entity NamePhysician Services Corporation Of Southern Illinois Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831101807
PECOS PAC ID: 9234022567
Enrollment ID: O20040304000583
Entity NameSouthern Illinois Medical Services Nfp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770656837
PECOS PAC ID: 3678677390
Enrollment ID: O20070404000595
Entity NameCounty Of Clay
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1184655136
PECOS PAC ID: 0042101982
Enrollment ID: O20180801002178

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 Raymund O Pineda 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 Raymund O Pineda, MD
2401 W Main St,
Marion, IL 62959-1188

Ph: (618) 997-5311
Dr Raymund O Pineda, MD
2401 W Main St,
Marion, IL 62959-1188

Ph: (618) 997-5311

Reviews and Comments


Internal Medicine Doctors in Marion, IL

Mohammed Rahimparast, MD
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 2309 Spring Ln, Marion, IL 62959
Phone: 618-993-8551    
Dr. Elizabeth Ellen Lawler, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1129 N Carbon St, Marion, IL 62959
Phone: 618-998-0123    Fax: 887-618-9533
Shelley Falik, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3307 W Commercial Rd, Marion, IL 62959
Phone: 902-235-2526    
Faisel Ahmad, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1200 W Deyoung St, Marion, IL 62959
Phone: 618-993-5686    Fax: 618-997-6250
Dr. Parag Arvind Madhani, MD
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 3331 W Deyoung St, Suite 100, Marion, IL 62959
Phone: 618-998-7600    Fax: 618-997-6680
Bei Wang, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2703 Prestwick Way, Marion, IL 62959
Phone: 469-619-5782    
Dr. Joseph Dwight Herman, MD
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 2401 W Main St, Marion, IL 62959
Phone: 618-993-4102    Fax: 618-993-4155

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.