Nicholas Guastalli, DO in Kankakee, IL - Medicare Internal Medicine

Nicholas Guastalli, DO is a medicare enrolled "Internal Medicine" physician in Kankakee, Illinois. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Riverside Health System and his current practice location is 401 N Wall St Ste 102, Kankakee, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 928-5090.

Nicholas Guastalli is licensed to practice in Illinois (license number 036143561) 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 1275957334.

Contact Information

	Nicholas Guastalli, DO
	401 N Wall St Ste 102, Kankakee, IL 60901-2934
	(815) 928-5090
	(815) 928-5079

Map and Direction

Physician's Profile

Full Name	Nicholas Guastalli
Gender	Male
Speciality	Internal Medicine
Experience	10 Years
Location	401 N Wall St Ste 102, 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:

Nicholas Guastalli graduated from medical school in 2014

NPI Data:

NPI Number: 1275957334
Provider Enumeration Date: 02/10/2014
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 5698040889
Enrollment ID: I20171016000362

Medical Identifiers

Medical identifiers for Nicholas Guastalli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275957334	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	036143561 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
R.m.c. Home Health Care	Peotone, IL	Home health agency
Hospice Of Kankakee Valley Inc	Bourbonnais, IL	Hospice
Riverside Medical Center	Kankakee, IL	Hospital
Presence St Marys Hospital	Kankakee, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Riverside Health System	3274434717	152

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. Nicholas Guastalli allows following entities to bill medicare on his behalf.

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. Nicholas Guastalli 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
Nicholas Guastalli, DO 401 N Wall St Ste 102, Kankakee, IL 60901-2934 Ph: (815) 928-5090	Nicholas Guastalli, DO 401 N Wall St Ste 102, Kankakee, IL 60901-2934 Ph: (815) 928-5090

Reviews and Comments

Internal Medicine Doctors in Kankakee, IL

Dr. Martin T Phillips, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 W Court St, Suite 108, Kankakee, IL 60901 Phone: 888-220-6432 Fax: 630-654-4253
Dr. Raju Zachariah Abraham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall St Ste C400, Kankakee, IL 60901 Phone: 815-933-3814 Fax: 815-933-3846
Dr. Lynn G Brown, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall St, Kankakee, IL 60901 Phone: 844-404-4787 Fax: 815-936-3243
Mario Gerard Massullo, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1710 W. Court St., Kankakee, IL 60901 Phone: 815-936-3200 Fax: 815-936-3203
Dr. Samrat Umesh Khanna, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall St Ste C400, Kankakee, IL 60901 Phone: 815-933-3814 Fax: 815-933-3846
Dr. Rahul Patel, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671
Dr. Suresh K Didwania, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 W Court St, Suite 400, Kankakee, IL 60901 Phone: 815-932-4614 Fax: 815-932-4615

Nicholas Guastalli, DO - Medicare Internal Medicine in Kankakee, IL