Dr. Douglas Joseph Pacaccio is a Rockford, Illinois based male podiatrist with 21 years of experience in Podiatry. He completed his graduation from William M. Scholl College Of Podiatric Medicine in 2003. He is also affiliated with hospitals like Kishwaukee Community Hospital and Copley Memorial Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Douglas Joseph Pacaccio for Podiatric Foot & Ankle Surgery is 016005351 in Illinois. Dr. Douglas Joseph Pacaccio is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Douglas Joseph Pacaccio speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
21+ years
Medical School Attended:
William M. Scholl College Of Podiatric Medicine
Graduation Year:
2003
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
5875 E Riverside Blvd, Rockford, Illinois, 61114-4937
Phone:
815-398-9491
Fax:
815-381-7498
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2466533419
Enrollment ID:
I20080115000800
NPI Number:
1013005867
NPI Enumeration Date:
10 Oct, 2006
NPI Last Update On:
26 Sep, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Douglas Joseph Pacaccio are as mentioned below.
License Number
Specialization
State
Status
016005351
Podiatric Foot & Ankle Surgery
Illinois
Primary
016005351
Podiatry
Illinois
Secondary
2006022045
Podiatric Foot & Ankle Surgery
Missouri
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Kishwaukee Community Hospital (140286)
Dekalb, IL
Acute Care Hospital
Copley Memorial Hospital (140029)
Aurora, IL
Acute Care Hospital
Central Dupage Hospital (140242)
Winfield, IL
Acute Care Hospital
Osf Saint Paul Medical Center(141310)
Mendota, IL
Critical Access Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Douglas Joseph Pacaccio is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Advanced Foot And Ankle Surgeons, Inc. (7416093844)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Douglas Joseph Pacaccio such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
016005351
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5875 E Riverside Blvd, Rockford, Illinois
Zip:
61114-4937
Phone Number:
815-398-9491
Fax Number:
815-381-7498
Patients can reach Dr. Douglas Joseph Pacaccio at 5875 E Riverside Blvd, Rockford, Illinois or can call to book an appointment on 815-398-9491. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.