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DERMASSOCIATES LTD
NPI 1942273974
Specialist in Belleville, IL

Active since February 09, 2006
3608 W MAIN ST, BELLEVILLE, IL 62226(618) 397-6605(618) 277-1251 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dermassociates Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMASSOCIATES LTD (NPI 1942273974) is a healthcare organization registered as a specialist in Belleville, Illinois and active in the NPI registry since February 2006. The organization lists Gary John Vicik, Ceo/physician, as its authorized official.

NPPES Registry Identity

NPI1942273974
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMASSOCIATES LTD
Location Address3608 W MAIN STBelleville, IL 62226-6225
Mailing Address3608 W Main StBelleville, IL 62226-6225 · (618) 397-6605 · Fax (618) 277-1251
Phone(618) 397-6605
Fax(618) 277-1251
Organization SubpartNo
Authorized OfficialGary John VicikCeo/physician · (618) 397-6605
Enumeration DateFebruary 9, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1942273974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 36-49185
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3608 W MAIN ST, Belleville, IL 62226
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Other Identifiers 8

OtherSTL0307017Unitedhealthcare
Other202982Great West
Other42561V34432Group Health Plan
Other101263Healthlink
Other11512Essence
Other42561V34432Advantra
Other8215117IL · Blue Shield
Other0778106Aetna

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermassociates Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dermassociates Ltd, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Gary Vicik, M.D.
Dermatology
NPI 1295708212
3608 W MAIN ST
Belleville, IL 62226
(618) 397-6605
✔ PECOSSame address
Jami Mannle, FNP-BC
Nurse Practitioner
NPI 1184857674
930 TALON DR STE 1
O Fallon, IL 62269
(618) 726-1080
✔ PECOS✔ Accepts Medicare6.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermassociates Ltd's NPI number?

The NPI number for Dermassociates Ltd is 1942273974. It was assigned to this organization in the NPPES registry on February 9, 2006.

Where is Dermassociates Ltd located?

Dermassociates Ltd is located at 3608 W Main St, Belleville, IL 62226. The listed phone number is (618) 397-6605.

What is Dermassociates Ltd's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Dermassociates Ltd enrolled in Medicare?

Yes. Dermassociates Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermassociates Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Dermassociates Ltd, in Dermatology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dermassociates Ltd accept?

Health plans from Medica list Dermassociates Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dermassociates Ltd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.