William G Nulty, MD in Peoria, IL - Medicare Internal Medicine

William G Nulty, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Peoria, Illinois. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Osf Multi-specialty Group and his current practice location is One Illini Dr, Medical Service Plan, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 671-8503.

William G Nulty is licensed to practice in Illinois (license number 036085410) 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 1639148356.

Contact Information

	William G Nulty, MD
	One Illini Dr, Medical Service Plan, Peoria, IL 61605
	(309) 671-8503
	Not Available

Map and Direction

Physician's Profile

Full Name	William G Nulty
Gender	Male
Speciality	Internal Medicine
Experience	34 Years
Location	One Illini Dr, Peoria, 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:

William G Nulty graduated from medical school in 1990

NPI Data:

NPI Number: 1639148356
Provider Enumeration Date: 03/15/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 8628252939
Enrollment ID: I20110412000263

Medical Identifiers

Medical identifiers for William G Nulty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639148356	NPI	-	NPPES
07215036	Other	IL	BCBS
IL01DC	Other	IL	JOHN DEERE
036085410	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	036085410 (Illinois)	Primary

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. William G Nulty allows following entities to bill medicare on his behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158

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. William G Nulty 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
William G Nulty, MD 1 Illini Dr, Peoria, IL 61605-2576 Ph: (309) 671-8503	William G Nulty, MD One Illini Dr, Medical Service Plan, Peoria, IL 61605 Ph: (309) 671-8503

Reviews and Comments

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William G Nulty, MD - Medicare Internal Medicine in Peoria, IL