Dr Mariellen Dentino, MD - Medicare Nephrology in Evansville, IN

Dr Mariellen Dentino, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Evansville, Indiana. She went to Indiana University School Of Medicine and graduated in 1973 and has 51 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice St Marys Medical Group Llc, Nephrology Associates, Llc and her current practice location is 3801 Bellemeade Ave Ste 330, Evansville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 479-3125.

Dr Mariellen Dentino is licensed to practice in Indiana (license number 1024941) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275533622.

Contact Information

Dr Mariellen Dentino, MD
3801 Bellemeade Ave Ste 330,
Evansville, IN 47714-0113
(812) 479-3125
Not Available



Physician's Profile

Full NameDr Mariellen Dentino
GenderFemale
SpecialityNephrology
Experience51 Years
Location3801 Bellemeade Ave Ste 330, Evansville, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mariellen Dentino attended and graduated from Indiana University School Of Medicine in 1973
  NPI Data:
  • NPI Number: 1275533622
  • Provider Enumeration Date: 07/28/2005
  • Last Update Date: 06/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4789729328
  • Enrollment ID: I20100306000120

Medical Identifiers

Medical identifiers for Dr Mariellen Dentino such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275533622NPI-NPPES
100242750MedicaidIN
390004294OtherINRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 1024941 (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Davita - Jasper DialysisJasper, INDialysis facility
Davita - Paoli DialysisPaoli, INDialysis facility
Ascension St Vincent EvansvilleEvansville, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Marys Medical Group Llc1153493341198
Nephrology Associates, Llc46886106378

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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. Dr Mariellen Dentino allows following entities to bill medicare on her behalf.
Entity NameNephrology Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467403758
PECOS PAC ID: 4688610637
Enrollment ID: O20060519000114

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Entity NameSt Marys Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164852539
PECOS PAC ID: 1153493341
Enrollment ID: O20140313001275

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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. Dr Mariellen Dentino 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
Dr Mariellen Dentino, MD
3801 Bellemeade Ave Ste 330,
Evansville, IN 47714-0113

Ph: () -
Dr Mariellen Dentino, MD
3801 Bellemeade Ave Ste 330,
Evansville, IN 47714-0113

Ph: (812) 479-3125

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Internal Medicine Doctors in Evansville, IN

Corinne Mbakop, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 533 W Columbia St, Evansville, IN 47710
Phone: 812-492-5202    Fax: 812-450-8102
Maqbool A Ahmed, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 421 Chestnut St, Evansville, IN 47713
Phone: 812-426-9411    Fax: 812-426-9503
Dr. Jerry Becker, M.D.
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 415 W Columbia St, Evansville, IN 47710
Phone: 812-464-9133    Fax: 812-464-0559
Mubashir A Zahid, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 520 Mary St Ste 230, Evansville, IN 47710
Phone: 812-450-8600    Fax: 812-450-8151
Dr. Richard A Wepsic, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 520 Mary St., Suite 230, Evansville, IN 47710
Phone: 812-464-9133    Fax: 812-464-0559
Dr. Jessica L Jeffries, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 519 Harriet St, Evansville, IN 47710
Phone: 812-450-7720    Fax: 812-450-7730
Dr. Bachar Malek, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 4972 Lincoln Ave, Suit 101, Evansville, IN 47715
Phone: 812-402-3700    Fax: 812-402-4611

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