Victor Erude Lidaywa, DPT is a medicare enrolled "Clinic/center - Physical Therapy" provider in Macomb, Illinois. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Physical Therapy. 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 | Physical Therapy |
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| Experience | 15 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 graduated from medical school in 2009
NPI Data:
- NPI Number: 1083178198
- Provider Enumeration Date: 01/23/2019
- Last Update Date: 02/02/2019
Medicare PECOS Information:
- PECOS PAC ID: 2668711557
- Enrollment ID: I20190312001593
Medical Identifiers
Medical identifiers for Victor Erude Lidaywa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 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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