Victor Erude Lidaywa, DPT is a medicare enrolled "Clinic/center - Physical Therapy" provider in Macomb, Illinois. His current practice location is
1701 W Jackson St, Ste C, Macomb, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 331-3590.
Victor Erude Lidaywa is licensed to practice in Illinois (license number 070.017800) 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 1083178198.
Healthcare Provider's Profile
| Full Name | Victor Erude Lidaywa |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1701 W Jackson St, Macomb, 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. |
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Medical Education and Training:
- Victor Erude Lidaywa attended and graduated from in
NPI Data:
- NPI Number: 1083178198
- Provider Enumeration Date: 01/23/2019
- Last Update Date: 02/02/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Victor Erude Lidaywa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083178198 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 070.017800 (Illinois) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 070.017800 (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. Victor Erude Lidaywa 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 |
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Victor Erude Lidaywa, DPT
305 E Summit St,
Macomb, IL 61455-3223
Ph: (309) 837-1748 | Victor Erude Lidaywa, DPT
1701 W Jackson St, Ste C,
Macomb, IL 61455-3175
Ph: (309) 331-3590 |
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