Holly Vannitamby, DO in Peoria, IL - Medicare Family Practice

Holly Vannitamby, DO is a medicare enrolled "Internal Medicine" physician in Peoria, Illinois. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Osf Multi-specialty Group and her current practice location is 6339 N Big Hollow Rd, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 693-3315.

Holly Vannitamby is licensed to practice in Illinois (license number 036150954) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053831214.

Contact Information

	Holly Vannitamby, DO
	6339 N Big Hollow Rd, Peoria, IL 61615-2907
	(309) 693-3315
	(309) 693-9385

Map and Direction

Physician's Profile

Full Name	Holly Vannitamby
Gender	Female
Speciality	Family Practice
Experience	7 Years
Location	6339 N Big Hollow Rd, Peoria, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Holly Vannitamby graduated from medical school in 2017

NPI Data:

NPI Number: 1053831214
Provider Enumeration Date: 06/20/2017
Last Update Date: 07/27/2020

Medicare PECOS Information:

PECOS PAC ID: 4688006604
Enrollment ID: I20191113001637

Medical Identifiers

Medical identifiers for Holly Vannitamby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053831214	NPI	-	NPPES
125.071177	Other		LICENSE
036.150954	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	036150954 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St. Francis Medical Center	Peoria, IL	Home health agency
Saint Francis Medical Center	Peoria, IL	Hospital
Methodist Medical Center Of Illinois	Peoria, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Osf Multi-specialty Group	3678889789	1552

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. Holly Vannitamby allows following entities to bill medicare on her behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Holly Vannitamby 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
Holly Vannitamby, DO 815 Main St Ste A, Peoria, IL 61602-1080 Ph: (309) 672-4977	Holly Vannitamby, DO 6339 N Big Hollow Rd, Peoria, IL 61615-2907 Ph: (309) 693-3315

Reviews and Comments

Internal Medicine Doctors in Peoria, IL

Sandeep Banga, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732
Riaz Shah, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Suite 504, Peoria, IL 61636 Phone: 309-672-5729
Dr. James Daniel Dewar, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7257
Waqas Ali, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522
Dr. Sudhir Mungee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5405 North Knoxville Avenue, Peoria, IL 61614 Phone: 309-691-4410 Fax: 309-589-2830
Dr. Nikesh Kavi Patel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732
Dr. Bhanu T Paturi, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5105 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-8383

Holly Vannitamby, DO - Medicare Family Practice in Peoria, IL