Northstar Integrated Health & Physical Medicine Center, S.c. is a medicare enrolled "Nurse Practitioner - Family" provider in Lisle, Illinois. Their current practice location is
4513 Lincoln Ave, #212, Lisle, Illinois. You can reach out to their office (for appointments etc.) via phone at
(630) 795-1889.
Northstar Integrated Health & Physical Medicine Center, S.c. is licensed to practice in Illinois (license number 209009686) and it also participates in the medicare program. Northstar Integrated Health & Physical Medicine Center, S.c.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1073869574.
Healthcare Provider's Profile
Full Name | Northstar Integrated Health & Physical Medicine Center, S.c. |
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Type | Facility |
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Speciality | Nurse Practitioner - Family |
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Location | 4513 Lincoln Ave, Lisle, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073869574
- Provider Enumeration Date: 08/02/2012
- Last Update Date: 02/11/2014
Medicare PECOS Information:
- PECOS PAC ID: 0446495972
- Enrollment ID: O20130403000468
Medical Identifiers
Medical identifiers for Northstar Integrated Health & Physical Medicine Center, S.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073869574 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111NX0100X | Chiropractor - Occupational Health | 038010007 (Illinois) | Secondary |
163WP0000X | Registered Nurse - Pain Management | 041384754 (Illinois) | Secondary |
204D00000X | Neuromusculoskeletal Medicine & Omm | 036110569 (Illinois) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | 036111510 (Illinois) | Secondary |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (Illinois) | Secondary |
208D00000X | General Practice | 036111510 (Illinois) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | 036110569 (Illinois) | Secondary |
225100000X | Physical Therapist | 070019141 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209009686 (Illinois) | Primary |
363LP2300X | Nurse Practitioner - Primary Care | 209009686 (Illinois) | Secondary |
363LX0106X | Nurse Practitioner - Occupational Health | 209009686 (Illinois) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Northstar Integrated Health & Physical Medicine Center, S.c. acts as a billing entity for following providers:
Provider Name | Aleksandr Goldvekht |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
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Provider Identifiers | NPI Number: 1700807807 PECOS PAC ID: 8426056144 Enrollment ID: I20061113000388 |
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Provider Name | Natalie Schultz |
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Provider Type | Practitioner - General Practice |
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Provider Identifiers | NPI Number: 1558426700 PECOS PAC ID: 6204721343 Enrollment ID: I20110920000497 |
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Provider Name | Paul D Rieselman |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1679654974 PECOS PAC ID: 5193624740 Enrollment ID: I20130403000493 |
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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. Northstar Integrated Health & Physical Medicine Center, S.c. 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 |
Northstar Integrated Health & Physical Medicine Center, S.c. 4513 Lincoln Ave, #212, Lisle, IL 60532-1289 Ph: (630) 795-1889 | Northstar Integrated Health & Physical Medicine Center, S.c. 4513 Lincoln Ave, #212, Lisle, IL 60532-1289 Ph: (630) 795-1889 |
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