Pele Boutrous Dina, MD in Springfield, IL

Pele Boutrous Dina, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Springfield, Illinois. His current practice location is 415 N 9th St # 4w16, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 545-8000.

Pele Boutrous Dina is licensed to practice in Illinois (license number 036-138186) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275898116.

Contact Information

	Pele Boutrous Dina, MD
	415 N 9th St # 4w16, Springfield, IL 62702
	(217) 545-8000
	(217) 757-6844

Map and Direction

Physician's Profile

Full Name	Pele Boutrous Dina
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	415 N 9th St # 4w16, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275898116
Provider Enumeration Date: 07/06/2012
Last Update Date: 05/16/2018

Medicare PECOS Information:

PECOS PAC ID: 2062651946
Enrollment ID: I20180630000091

Medical Identifiers

Medical identifiers for Pele Boutrous Dina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275898116	NPI	-	NPPES
036-138186	Other	IL	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	036-138186 (Illinois)	Primary

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. Pele Boutrous Dina allows following entities to bill medicare on his behalf.

Entity Name	Siu Physicians & Surgeons Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769

Entity Name	St Francis Hospital Sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326057076 PECOS PAC ID: 5890686562 Enrollment ID: O20040323000066

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. Pele Boutrous Dina 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
Pele Boutrous Dina, MD Po Box 19676, Springfield, IL 62794-9676 Ph: (217) 545-8000	Pele Boutrous Dina, MD 415 N 9th St # 4w16, Springfield, IL 62702 Ph: (217) 545-8000

Reviews and Comments

Pediatrics Doctors in Springfield, IL

Stephanie E. Wojtowicz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424
Claudine Gillison, Pediatrics Medicare: Medicare Enrolled Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-528-7541
Gopinathan Gangadharan Nambiar, Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 Old Jacksonville Rd, Springfield, IL 62704 Phone: 217-698-9722 Fax: 217-391-0392
Dr. Susan M. Soler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424
Dr. Kimberly Nichole Powell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 415 N 9th St, Suite 4w16, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-757-6654
Misty M. Phillips, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-528-7541
Tracy P Milbrandt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 301 N 8th St, Springfield, IL 62701 Phone: 217-545-4238 Fax: 217-545-2303

Pele Boutrous Dina, MD - Medicare Pediatrics in Springfield, IL