Rachael A Plantholt, MD - Medicare Family Medicine in Normal, IL

  1. Home
  2. Family Medicine
  3. IL
  4. Normal
Rachael A Plantholt, MD is a medicare enrolled "Family Medicine" physician in Normal, Illinois. Her current practice location is 1437 E College Ave, Normal, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 862-5700.

Rachael A Plantholt is licensed to practice in Michigan (license number 4351048691) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1346817566.

Contact Information

Rachael A Plantholt, MD
1437 E College Ave,
Normal, IL 61761-2085
(309) 862-5700
(309) 862-5705

Map and Direction




Physician's Profile

Full NameRachael A Plantholt
GenderFemale
SpecialityFamily Medicine
Location1437 E College Ave, Normal, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346817566
  • Provider Enumeration Date: 06/07/2021
  • Last Update Date: 12/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1759782287
  • Enrollment ID: I20240909000558

Medical Identifiers

Medical identifiers for Rachael A Plantholt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346817566NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4351048691 (Michigan)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. Rachael A Plantholt allows following entities to bill medicare on her behalf.
Entity NameCarle Eureka Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1184644023
PECOS PAC ID: 3870914393
Enrollment ID: O20200609000028
Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147
Entity NameCarle Bromenn Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104442615
PECOS PAC ID: 8921429499
Enrollment ID: O20200716000187

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. Rachael A Plantholt 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
Rachael A Plantholt, MD
611 W Park, Fapc,
Urbana, IL 61802

Ph: (217) 902-6954		Rachael A Plantholt, MD
1437 E College Ave,
Normal, IL 61761-2085

Ph: (309) 862-5700

Reviews and Comments


Family Medicine Doctors in Normal, IL

Dr. Rachel Christine Dalal, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1300 Franklin Ave Ste 100, Normal, IL 61761
Phone: 309-268-3761    Fax: 309-268-5620
Ashraf Abdeljaber, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1304 Franklin Ave Ste 380, Normal, IL 61761
Phone: 309-268-3598    
John A. Pollastrini, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1302 Franklin Ave Ste 1100, Normal, IL 61761
Phone: 309-268-2727    Fax: 309-268-6513
George Gerolimatos, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1304 Franklin Ave, Normal, IL 61761
Phone: 309-268-3558    
James Steven Vales, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 109 Veronica Way, Normal, IL 61761
Phone: 309-454-4698    
Susan Rausch,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2200 Fort Jesse Rd, Suite 110, Normal, IL 61761
Phone: 309-661-6290    Fax: 309-451-1354
Dr. Unnati Upadhyay, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1300 Franklin Ave, Normal, IL 61761
Phone: 309-268-3598    

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.