Proactive Wellness Group - Medicare in Shorewood, IL

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Proactive Wellness Group is a medicare enrolled "Nurse Practitioner" provider in Shorewood, Illinois. Their current practice location is 805 W Jefferson St Ste A, Shorewood, Illinois. You can reach out to their office (for appointments etc.) via phone at (815) 725-8660.

Proactive Wellness Group is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Proactive Wellness Group 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 1275213902.

Contact Information

Proactive Wellness Group
805 W Jefferson St Ste A,
Shorewood, IL 60404-7379
(815) 725-8660
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameProactive Wellness Group
TypeFacility
SpecialityNurse Practitioner
Location805 W Jefferson St Ste A, Shorewood, Illinois
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275213902
  • Provider Enumeration Date: 07/18/2023
  • Last Update Date: 07/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8426407800
  • Enrollment ID: O20231211001699

Medical Identifiers

Medical identifiers for Proactive Wellness Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275213902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Proactive Wellness Group acts as a billing entity for following providers:
Provider NameGabriel G Ellis
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1821316951
PECOS PAC ID: 6305031469
Enrollment ID: I20101115000765
Provider NameAmanda J Lemay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790390797
PECOS PAC ID: 2860809985
Enrollment ID: I20210407001514
Provider NameDaniel Spaccapaniccia
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1497443964
PECOS PAC ID: 9335598713
Enrollment ID: I20240404002580

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. Proactive Wellness Group 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
Proactive Wellness Group
805 W Jefferson St Ste A,
Shorewood, IL 60404-7379

Ph: (815) 725-8660		Proactive Wellness Group
805 W Jefferson St Ste A,
Shorewood, IL 60404-7379

Ph: (815) 725-8660

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.