Angela Dawn Herndon, APN in Breese, IL - Medicare Nurse Practitioner

Angela Dawn Herndon, APN is a medicare enrolled "Nurse Practitioner" in Breese, Illinois. Her current practice location is 397 North Plum Street, Breese, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 526-4700.

Angela Dawn Herndon is licensed to practice in Illinois (license number 041328145) 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 1265548986.

Contact Information

	Angela Dawn Herndon, APN
	397 North Plum Street, Breese, IL 62230-9998
	(618) 526-4700
	(618) 566-7121

Map and Direction

Provider's Profile

Full Name	Angela Dawn Herndon
Gender	Female
Speciality	Nurse Practitioner
Location	397 North Plum Street, Breese, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265548986
Provider Enumeration Date: 08/23/2006
Last Update Date: 09/20/2024

Medicare PECOS Information:

PECOS PAC ID: 5496775678
Enrollment ID: I20051202000177

Medical Identifiers

Medical identifiers for Angela Dawn Herndon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265548986	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	041328145 (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. Angela Dawn Herndon allows following entities to bill medicare on her behalf.

Entity Name	Rural Family Medicine Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366639759 PECOS PAC ID: 2264489038 Enrollment ID: O20050404000800

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. Angela Dawn Herndon 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
Angela Dawn Herndon, APN 397 North Plum Street, Breese, IL 62230-9998 Ph: (618) 526-4700	Angela Dawn Herndon, APN 397 North Plum Street, Breese, IL 62230-9998 Ph: (618) 526-4700

Reviews and Comments

Nurse Practitioner Nurses in Breese, IL

Emily Rhoades, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-526-7271 Fax: 618-526-7313
Kelsey L Mueller, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-526-7271
Clare R Arentsen, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-526-7271
Mrs. Kara Ann Huegen, AGNP-C, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-206-2082
Meghan M Ziegler, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-526-7271
Kelly Jean Kalmer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-206-2082

Angela Dawn Herndon, APN - Medicare Nurse Practitioner in Breese, IL