Jeffery P Mendell, MD in Kankakee, IL - Medicare Diagnostic Radiology

Jeffery P Mendell, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Kankakee, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Riverside Health System, Central Illinois Radiological Associates Ltd and his current practice location is 350 N Wall St, Kankakee, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 933-1671.

Jeffery P Mendell is licensed to practice in Illinois (license number 036113476) 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 1629285556.

Contact Information

	Jeffery P Mendell, MD
	350 N Wall St, Kankakee, IL 60901-2991
	(815) 933-1671
	Not Available

Map and Direction

Physician's Profile

Full Name	Jeffery P Mendell
Gender	Male
Speciality	Diagnostic Radiology
Experience	22 Years
Location	350 N Wall St, Kankakee, 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:

Jeffery P Mendell attended and graduated from Southern Illinois University School Of Medicine in 2002

NPI Data:

NPI Number: 1629285556
Provider Enumeration Date: 05/17/2007
Last Update Date: 12/04/2023

Medicare PECOS Information:

PECOS PAC ID: 1759481625
Enrollment ID: I20070706000032

Medical Identifiers

Medical identifiers for Jeffery P Mendell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629285556	NPI	-	NPPES
036113476	Medicaid	IL
4615054	Other	IL	BCBS ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	036-113476 (Illinois)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	036113476 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Riverside Medical Center	Kankakee, IL	Hospital
St Joseph Medical Center	Bloomington, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Riverside Health System	3274434717	152
Central Illinois Radiological Associates Ltd	9436061827	156

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. Jeffery P Mendell allows following entities to bill medicare on his behalf.

Entity Name	Central Illinois Radiological Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538192828 PECOS PAC ID: 9436061827 Enrollment ID: O20031104000332

Entity Name	Riverside Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780

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. Jeffery P Mendell 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
Jeffery P Mendell, MD 111 Oakwood Rd, East Peoria, IL 61611-1853 Ph: (309) 740-4272	Jeffery P Mendell, MD 350 N Wall St, Kankakee, IL 60901-2991 Ph: (815) 933-1671

Reviews and Comments

Radiology Doctors in Kankakee, IL

Dr. Howard I Roth, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671
Dr. Brian Ruiz De Luzuriaga, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-935-7525
Stephen Supple, MD Radiology Medicare: Medicare Enrolled Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671
Ryan J Meiners, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671
Dr. Tyler Hall Cornelius, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671
Supriya Gupta, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 877-737-4636

Jeffery P Mendell, MD - Medicare Diagnostic Radiology in Kankakee, IL