Mrs Julie Ann Threadgill, APRN,CNP is a medicare enrolled "Nurse Practitioner - Family" physician in Ottawa, Illinois. Her current practice location is
1614 E Norris Dr, Ottawa, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 433-1010.
Mrs Julie Ann Threadgill is licensed to practice in Illinois (license number 209028334) 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 1770360422.
Physician's Profile
Full Name | Mrs Julie Ann Threadgill |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1614 E Norris Dr, Ottawa, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770360422
- Provider Enumeration Date: 09/14/2023
- Last Update Date: 12/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 3173972262
- Enrollment ID: I20231214002664
Medical Identifiers
Medical identifiers for Mrs Julie Ann Threadgill such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770360422 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 41442787 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209028334 (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. Mrs Julie Ann Threadgill allows following entities to bill medicare on her behalf.
Entity Name | Ottawa Regional Hospital & Healthcare Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306971080 PECOS PAC ID: 9133029861 Enrollment ID: O20040109000910 |
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Entity Name | Saint James Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891399432 PECOS PAC ID: 0648187252 Enrollment ID: O20050713000208 |
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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. Mrs Julie Ann Threadgill 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 |
Mrs Julie Ann Threadgill, APRN,CNP 1614 E Norris Dr, Ottawa, IL 61350-3681 Ph: (815) 433-1010 | Mrs Julie Ann Threadgill, APRN,CNP 1614 E Norris Dr, Ottawa, IL 61350-3681 Ph: (815) 433-1010 |
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