Mr Justin William Kierbs, ACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Decatur, Illinois. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Prairie Cardiovascular Consultants Ltd and his current practice location is
1800 E Lake Shore Dr, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 422-6100.
Mr Justin William Kierbs is licensed to practice in Illinois (license number 209008969) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841579026.
Physician's Profile
Full Name | Mr Justin William Kierbs |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Experience | 13 Years |
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Location | 1800 E Lake Shore Dr, Decatur, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Justin William Kierbs graduated from medical school in 2011
NPI Data:
- NPI Number: 1841579026
- Provider Enumeration Date: 08/05/2011
- Last Update Date: 12/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 1153593728
- Enrollment ID: I20111004000791
Medical Identifiers
Medical identifiers for Mr Justin William Kierbs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841579026 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0129X | Surgery - Vascular Surgery | 209.008969 (Illinois) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 209008969 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Prairie Cardiovascular Consultants Ltd | 3173435880 | 85 |
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. Mr Justin William Kierbs allows following entities to bill medicare on his behalf.
Entity Name | Prairie Cardiovascular Consultants Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982714218 PECOS PAC ID: 3173435880 Enrollment ID: O20031103000090 |
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Entity Name | Decatur Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164477725 PECOS PAC ID: 6204731144 Enrollment ID: O20031203000685 |
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Entity Name | Hshs Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962644807 PECOS PAC ID: 5092857821 Enrollment ID: O20100116000275 |
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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. Mr Justin William Kierbs 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 |
Mr Justin William Kierbs, ACNP-BC 1750 E Lake Shore Dr, Suite 200, Decatur, IL 62521-3803 Ph: (217) 428-6300 | Mr Justin William Kierbs, ACNP-BC 1800 E Lake Shore Dr, Decatur, IL 62521-3810 Ph: (217) 422-6100 |
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