- Medicare in Danville, IL

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is a medicare enrolled "Ophthalmology" provider in Danville, Illinois. Their current practice location is 1104 N Vermilion St, Danville, Illinois. You can reach out to their office (for appointments etc.) via phone at (217) 398-2020.

is licensed to practice in * (Not Available) (license number ) 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 1336246552.

Contact Information

1104 N Vermilion St,
Danville, IL 61832-3094
(217) 398-2020
(217) 442-0119

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOphthalmology
Location1104 N Vermilion St, Danville, Illinois
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336246552
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 11/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8628059995
  • Enrollment ID: O20040525000487

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336246552NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Primary
207WX0009XOphthalmology - Glaucoma Specialist (* (Not Available))Secondary
208600000XSurgery (* (Not Available))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 NameJames D Lohrberg
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1821013582
PECOS PAC ID: 7719922830
Enrollment ID: I20050620001020
Provider NameMark A Pellegrini
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1720065246
PECOS PAC ID: 9830116649
Enrollment ID: I20051101000107
Provider NameRaymond T Nobbe
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1477561793
PECOS PAC ID: 2860585312
Enrollment ID: I20070829000746
Provider NameJanna F Brockman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1780875898
PECOS PAC ID: 2264528892
Enrollment ID: I20071012000334
Provider NameShawn P Mallady
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1891772331
PECOS PAC ID: 4688654023
Enrollment ID: I20090421000363
Provider NameSteve A Leon
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1134182025
PECOS PAC ID: 2163538794
Enrollment ID: I20110329000319
Provider NameRyan Jeffrey Witt
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1326450933
PECOS PAC ID: 1951526342
Enrollment ID: I20140626001792
Provider NameGeorge R Rix
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1629485735
PECOS PAC ID: 7618232430
Enrollment ID: I20180529001850
Provider NameEmily J Mckinney
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1952073983
PECOS PAC ID: 0244638682
Enrollment ID: I20211014002925
Provider NameCourtney R Marsh
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1659091957
PECOS PAC ID: 7214308980
Enrollment ID: I20230118000344
Provider NameDavid Antonio Sola-del Valle
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1235423260
PECOS PAC ID: 2769644483
Enrollment ID: I20231204003233
Provider NameKelly Ann Kiser
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1194386078
PECOS PAC ID: 4688905557
Enrollment ID: I20240926001870
Provider NameCreighton B Prosser
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1467281709
PECOS PAC ID: 1153862438
Enrollment ID: I20240926002226
Provider NameMaxwell E Prosser
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1598594855
PECOS PAC ID: 5799226072
Enrollment ID: I20240926002234

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

1104 N Vermilion St,
Danville, IL 61832-3094

Ph: (217) 398-2020
1104 N Vermilion St,
Danville, IL 61832-3094

Ph: (217) 398-2020

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.