Dencel Ray Polintan, is a medicare enrolled "Physical Therapist" provider in Sullivan, Illinois. 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 | |
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Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1558718627
- Provider Enumeration Date: 05/18/2016
- Last Update Date: 05/18/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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