Eric A Kivisto, DO - Medicare General Surgery in Mendota, IL

Eric A Kivisto, DO is a medicare enrolled "Surgery" physician in Mendota, Illinois. He went to Chicago College Of Osteopathy and graduated in 1989 and has 35 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Crittenden Community Hospital Llc and his current practice location is 1405 E 12th St, Suite 500, Mendota, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 539-1789.

Eric A Kivisto is licensed to practice in Illinois (license number 036091073) 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 1447257316.

Contact Information

Eric A Kivisto, DO
1405 E 12th St, Suite 500,
Mendota, IL 61342-9010
(815) 539-1789
(815) 539-1430

Map and Direction




Physician's Profile

Full NameEric A Kivisto
GenderMale
SpecialityGeneral Surgery
Experience35 Years
Location1405 E 12th St, Mendota, 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:
  • Eric A Kivisto attended and graduated from Chicago College Of Osteopathy in 1989
  NPI Data:
  • NPI Number: 1447257316
  • Provider Enumeration Date: 07/06/2005
  • Last Update Date: 12/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8820155963
  • Enrollment ID: I20231024000358

Medical Identifiers

Medical identifiers for Eric A Kivisto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447257316NPI-NPPES
371342699OtherILFEIN NUMBER
036091073MedicaidIL
02706617OtherILBLUE CROSS/BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 5101011210 (Michigan)Secondary
208600000XSurgery 036091073 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Crittenden Community HospitalMarion, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Crittenden Community Hospital Llc842639879321

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. Eric A Kivisto allows following entities to bill medicare on his behalf.
Entity NameCrittenden Community Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275097339
PECOS PAC ID: 8426398793
Enrollment ID: O20190606001972

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. Eric A Kivisto 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
Eric A Kivisto, DO
1401 E 12th St,
Mendota, IL 61342-9216

Ph: (815) 539-1789
Eric A Kivisto, DO
1405 E 12th St, Suite 500,
Mendota, IL 61342-9010

Ph: (815) 539-1789

Reviews and Comments


Surgery Doctors in Mendota, IL

Dr. Michael P Vercimak, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1405 E 12th St, Suite 200, Mendota, IL 61342
Phone: 815-539-3831    Fax: 815-538-4202

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.