Dr Rutendo Nkomo, - Medicare Pediatrics in Alton, IL

Dr Rutendo Nkomo, is a medicare enrolled "Pediatrics" physician in Alton, Illinois. Her current practice location is 4 Memorial Dr Ste 210, Alton, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 463-0649.

Dr Rutendo Nkomo is licensed to practice in Illinois (license number 036149842) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861841454.

Contact Information

Dr Rutendo Nkomo,
4 Memorial Dr Ste 210,
Alton, IL 62002-6751
(618) 463-0649
(618) 465-3390



Physician's Profile

Full NameDr Rutendo Nkomo
GenderFemale
SpecialityPediatrics
Location4 Memorial Dr Ste 210, Alton, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861841454
  • Provider Enumeration Date: 06/06/2016
  • Last Update Date: 12/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3678867389
  • Enrollment ID: I20160803001437

Medical Identifiers

Medical identifiers for Dr Rutendo Nkomo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861841454NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 125.069063 (Illinois)Secondary
208000000XPediatrics 036149842 (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. Dr Rutendo Nkomo 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 Rutendo Nkomo,
4 Memorial Dr Ste 210,
Alton, IL 62002-6751

Ph: (618) 463-0649
Dr Rutendo Nkomo,
4 Memorial Dr Ste 210,
Alton, IL 62002-6751

Ph: (618) 463-0649

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Pediatrics Doctors in Alton, IL

Dr. Sirisak Suntharasantic, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002
Phone: 618-463-0649    Fax: 618-463-3390
Dr. Shelby Ann Markel, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4 Memorial Dr Ste 110, Alton, IL 62002
Phone: 618-474-1711    Fax: 618-462-2643
Dr. Kelly J Lindsey, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1 Professional Dr, Suite 250, Alton, IL 62002
Phone: 618-463-8636    Fax: 618-463-8640
Dr. John H. Giroux, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 550 Landmarks Blvd, Alton, IL 62002
Phone: 618-463-0649    Fax: 618-465-3390
Mrs. Janis M. Robinson, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4 Memorial Dr., Ste 110, Alton, IL 62002
Phone: 618-474-1711    Fax: 618-474-2793
Dr. Laura Pulaski Barton, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4 Memorial Dr., Ste 110, Alton, IL 62002
Phone: 618-474-1711    Fax: 618-474-1711
Cindy L Durr, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4 Memorial Drive, Suite 110, Alton, IL 62002
Phone: 618-474-1711    Fax: 618-474-2793

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