Arleta Dedianous, APRN is a medicare enrolled "Pediatrics - Pediatric Allergy/immunology" in Peoria, Illinois. Her current practice location is
2900 N Knoxville Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 308-2000.
Arleta Dedianous is licensed to practice in Illinois (license number 209.002443041.253592) 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 1912787813.
Provider's Profile
Full Name | Arleta Dedianous |
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Gender | Female |
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Speciality | Pediatrics - Pediatric Allergy/immunology |
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Location | 2900 N Knoxville Ave, Peoria, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912787813
- Provider Enumeration Date: 09/29/2023
- Last Update Date: 09/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769827674
- Enrollment ID: I20240301001921
Medical Identifiers
Medical identifiers for Arleta Dedianous such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912787813 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0200X | Nurse Practitioner - Pediatrics | 209.002443041.253592 (Illinois) | Secondary |
2080P0201X | Pediatrics - Pediatric Allergy/immunology | 209.002443041.253592 (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. Arleta Dedianous allows following entities to bill medicare on her behalf.
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
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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. Arleta Dedianous 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 |
Arleta Dedianous, APRN 2900 N Knoxville Ave, Peoria, IL 61603-1748 Ph: (309) 308-2000 | Arleta Dedianous, APRN 2900 N Knoxville Ave, Peoria, IL 61603-1748 Ph: (309) 308-2000 |
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