- Medicare in Decatur, IL

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is a medicare enrolled "Ophthalmology" provider in Decatur, Illinois. Their current practice location is 2442 N Route 121, Decatur, Illinois. You can reach out to their office (for appointments etc.) via phone at (217) 233-3101.

is licensed to practice in Illinois (license number 036069820) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1093854820.

Contact Information

2442 N Route 121,
Decatur, IL 62526-9461
(217) 233-3101
(217) 233-3107

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOphthalmology
Location2442 N Route 121, Decatur, Illinois
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093854820
  • Provider Enumeration Date: 02/06/2007
  • Last Update Date: 04/24/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 5496780736
  • Enrollment ID: O20051005000658

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093854820NPI-NPPES
036069820MedicaidIL
180033361OtherILRAILROAD MEDICARE
05822331OtherILBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 046009767 (Illinois)Secondary
152WC0802XOptometrist - Corneal And Contact Management 036069820 (Illinois)Secondary
207W00000XOphthalmology 036069820 (Illinois)Primary
332B00000XDurable Medical Equipment & Medical Supplies 036069820 (Illinois)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameNathan A Crouch
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1750386215
PECOS PAC ID: 9931176799
Enrollment ID: I20040913000543
Provider NameMarcus S Deranian
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1952367351
PECOS PAC ID: 4587699830
Enrollment ID: I20080125000472
Provider NameDennis Rabe
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1710980560
PECOS PAC ID: 7113032889
Enrollment ID: I20110223000593
Provider NameMaxx M Craggs
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1942680228
PECOS PAC ID: 3577874353
Enrollment ID: I20150619001489

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. 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

2442 N Route 121,
Decatur, IL 62526-9461

Ph: (217) 233-3101
2442 N Route 121,
Decatur, IL 62526-9461

Ph: (217) 233-3101

Reviews and Comments



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.