Ms Shandalla L Rumack, FNP is a medicare enrolled "Nurse Practitioner - Family" provider in Norridge, Illinois. Her current practice location is
8307 W Lawrence Ave, Norridge, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 452-0920.
Ms Shandalla L Rumack is licensed to practice in Illinois (license number 209.028935) 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 1699911842.
Healthcare Provider's Profile
Full Name | Ms Shandalla L Rumack |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 8307 W Lawrence Ave, Norridge, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699911842
- Provider Enumeration Date: 12/17/2008
- Last Update Date: 05/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375980816
- Enrollment ID: I20240320001839
Medical Identifiers
Medical identifiers for Ms Shandalla L Rumack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699911842 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 198.001503 (Illinois) | Secondary |
225700000X | Massage Therapist | MA0022061 (Washington) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209.028935 (Illinois) | Primary |
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. Ms Shandalla L Rumack allows following entities to bill medicare on her behalf.
Provider Name | Raby Institute For Integrative Medicine At Northwestern Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1023260825 PECOS PAC ID: 4789733320 Enrollment ID: O20090601000314 |
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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. Ms Shandalla L Rumack 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 |
Ms Shandalla L Rumack, FNP 8307 W Lawrence Ave, Norridge, IL 60706-3129 Ph: (708) 452-0920 | Ms Shandalla L Rumack, FNP 8307 W Lawrence Ave, Norridge, IL 60706-3129 Ph: (708) 452-0920 |
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