Dana A Baugher, FNP - Medicare Nurse Practitioner in O Fallon, IL

Dana A Baugher, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in O Fallon, Illinois. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prairie Cardiovascular Consultants Ltd and her current practice location is Three Saint Elizabeth Blvd Ste 2800, O Fallon, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 233-6044.

Dana A Baugher is licensed to practice in Illinois (license number 209.016556041.403477) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497268965.

Contact Information

Dana A Baugher, FNP
Three Saint Elizabeth Blvd Ste 2800,
O Fallon, IL 62269-1282
(618) 233-6044
(833) 973-4218

Map and Direction




Physician's Profile

Full NameDana A Baugher
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
LocationThree Saint Elizabeth Blvd Ste 2800, O Fallon, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dana A Baugher graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1497268965
  • Provider Enumeration Date: 11/07/2017
  • Last Update Date: 12/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7214273804
  • Enrollment ID: I20190118001983

Medical Identifiers

Medical identifiers for Dana A Baugher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497268965NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 209-016556041.403477 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209.016556041.403477 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hshs St Elizabeth's HospitalO fallon, ILHospital
St Joseph's HospitalHighland, ILHospital
Hshs Holy Family Hospital IncGreenville, ILHospital
St Josephs HospitalBreese, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prairie Cardiovascular Consultants Ltd317343588085

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. Dana A Baugher allows following entities to bill medicare on her behalf.
Entity NamePrairie Cardiovascular Consultants Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982714218
PECOS PAC ID: 3173435880
Enrollment ID: O20031103000090

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. Dana A Baugher 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
Dana A Baugher, FNP
Three Saint Elizabeth Blvd Ste 2800,
O Fallon, IL 62269-1282

Ph: (618) 233-6044
Dana A Baugher, FNP
Three Saint Elizabeth Blvd Ste 2800,
O Fallon, IL 62269-1282

Ph: (618) 233-6044

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).

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