Mrs Vanessa Lauren Roof, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Peoria, Illinois. Her current practice location is
5600 N Glen Elm Dr, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at
(844) 341-2339.
Mrs Vanessa Lauren Roof is licensed to practice in Illinois (license number 209.025865) 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 1063133429.
Physician's Profile
| Full Name | Mrs Vanessa Lauren Roof |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 5600 N Glen Elm Dr, Peoria, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063133429
- Provider Enumeration Date: 09/05/2022
- Last Update Date: 03/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456727346
- Enrollment ID: I20221018001216
Medical Identifiers
Medical identifiers for Mrs Vanessa Lauren Roof such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063133429 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QG0300X | Family Medicine - Geriatric Medicine | 209.025865 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209.025865 (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 Vanessa Lauren Roof allows following entities to bill medicare on her behalf.
| Entity Name | Vitae Health Of Illinois Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174013452
PECOS PAC ID: 2365798410
Enrollment ID: O20180703002838 |
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| Entity Name | Gaps Health Il, S.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427655240
PECOS PAC ID: 8022429646
Enrollment ID: O20201202002174 |
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| Entity Name | Hdc Care Solutions Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033861349
PECOS PAC ID: 0345634770
Enrollment ID: O20230214002694 |
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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 Vanessa Lauren Roof 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 Vanessa Lauren Roof, NP
16789 E 400 North Rd,
Heyworth, IL 61745-9046
Ph: (309) 336-2249 | Mrs Vanessa Lauren Roof, NP
5600 N Glen Elm Dr,
Peoria, IL 61614-4340
Ph: (844) 341-2339 |
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