Dencel Ray Polintan, is a medicare enrolled "Physical Therapist" provider in Sullivan, Illinois. He graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Weil Foot And Ankle Institute Llc and his current practice location is
1 Masonic Way, Sullivan, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 728-4394.
Dencel Ray Polintan is licensed to practice in Illinois (license number 070.021659) 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 1558718627.
Healthcare Provider's Profile
Full Name | Dencel Ray Polintan |
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Gender | Male |
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Speciality | Physical Therapy |
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Experience | 13 Years |
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Location | 1 Masonic Way, Sullivan, Illinois |
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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:
- Dencel Ray Polintan graduated from medical school in 2012
NPI Data:
- NPI Number: 1558718627
- Provider Enumeration Date: 05/18/2016
- Last Update Date: 05/18/2016
Medicare PECOS Information:
- PECOS PAC ID: 3577830181
- Enrollment ID: I20170602001762
Medical Identifiers
Medical identifiers for Dencel Ray Polintan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558718627 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 070.021659 (Illinois) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Weil Foot And Ankle Institute Llc | 4587655105 | 40 |
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. Dencel Ray Polintan allows following entities to bill medicare on his behalf.
Provider Name | Accelerated Rehabilitation Centers Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1205875713 PECOS PAC ID: 2567372931 Enrollment ID: O20040224000455 |
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Provider Name | Weil Foot And Ankle Institute Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1710965314 PECOS PAC ID: 4587655105 Enrollment ID: O20040521000960 |
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Provider Name | Illinois Bone And Joint Institute Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1205922432 PECOS PAC ID: 6002814878 Enrollment ID: O20061110000331 |
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Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
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Provider Name | Illinois Luna Care Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1033755566 PECOS PAC ID: 5193153450 Enrollment ID: O20200319001790 |
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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. Dencel Ray Polintan 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 |
Dencel Ray Polintan, 117 W Polk Ave Apt 15, Charleston, IL 61920-2585 Ph: () - | Dencel Ray Polintan, 1 Masonic Way, Sullivan, IL 61951-9467 Ph: (217) 728-4394 |
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