Marla Nelson, - Medicare Counselor in O Fallon, IL

Marla Nelson, is a medicare enrolled "Counselor - Professional" provider in O Fallon, Illinois. Her current practice location is 3 Saint Elizabeth Blvd Ste 4000, O Fallon, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 233-5480.

Marla Nelson is licensed to practice in Illinois (license number 180.009435) 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 1437552130.

Contact Information

Marla Nelson,
3 Saint Elizabeth Blvd Ste 4000,
O Fallon, IL 62269-1284
(618) 233-5480
(618) 222-4790

Map and Direction


Healthcare Provider's Profile

Full NameMarla Nelson
GenderFemale
SpecialityCounselor - Professional
Location3 Saint Elizabeth Blvd Ste 4000, O Fallon, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437552130
  • Provider Enumeration Date: 10/08/2014
  • Last Update Date: 05/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0345692570
  • Enrollment ID: I20240123003533

Medical Identifiers

Medical identifiers for Marla Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437552130NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 180.009435 (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. Marla Nelson allows following entities to bill medicare on her behalf.
Entity NameSouthern Illinois Healthcare Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013198712
PECOS PAC ID: 1456256874
Enrollment ID: O20031126000641
Entity NameOsf Healthcare System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437551322
PECOS PAC ID: 4284541806
Enrollment ID: O20150710000901
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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. Marla Nelson 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
Marla Nelson,
3 Saint Elizabeth Blvd Ste 4000,
O Fallon, IL 62269-1284

Ph: (618) 233-5480
Marla Nelson,
3 Saint Elizabeth Blvd Ste 4000,
O Fallon, IL 62269-1284

Ph: (618) 233-5480

Reviews and Comments


Counselor in O Fallon, IL

Mr. George A Bates, MS, LCPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 8 Eagle Center, O Fallon, IL 62269
Phone: 618-624-1234    Fax: 618-624-2027
Mrs. Christianne Meier Judy, MSW, LCSW
Counselor
Medicare: Accepting Medicare Assignments
Practice Location: 635 S Lincoln Ave, O Fallon, IL 62269
Phone: 618-530-7110    
Ashley Dawn Amburn, LCPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 938 Evan Dr, O Fallon, IL 62269
Phone: 618-531-9637    
Leia Katherine Stein,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 785 Wall St Ste 200, O Fallon, IL 62269
Phone: 618-670-9069    
Ms. Mindy M Stratmann-sebol, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 781 Forest Green Dr, O Fallon, IL 62269
Phone: 618-581-6454    
Gina Mckee, MS, MA, LCPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 220 E State St, Suite 2g, O Fallon, IL 62269
Phone: 618-727-0819    Fax: 618-206-8649
Caitlin R Pflasterer, M.ED., LCPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 7 Eagle Ctr Ste B-1, O Fallon, IL 62269
Phone: 618-577-0660    Fax: 618-726-2043

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.