Angela K Conklin, APN/CNP is a medicare enrolled "Nurse Practitioner - Family" in Mount Carroll, Illinois. She graduated from nursing school in 2007 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Freeport Regional Health Care Foundation and her current practice location is
1120 Healthcare Dr, Mount Carroll, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 244-4181.
Angela K Conklin is licensed to practice in Illinois (license number 209006719) 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 1508050683.
Provider's Profile
| Full Name | Angela K Conklin |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 18 Years |
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| Location | 1120 Healthcare Dr, Mount Carroll, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Angela K Conklin graduated from nursing school in 2007
NPI Data:
- NPI Number: 1508050683
- Provider Enumeration Date: 08/31/2007
- Last Update Date: 10/20/2017
Medicare PECOS Information:
- PECOS PAC ID: 6709973407
- Enrollment ID: I20071026000713
Medical Identifiers
Medical identifiers for Angela K Conklin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508050683 | NPI | - | NPPES |
| 209-006719 | Other | IL | APN LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209006719 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Freeport Regional Health Care Foundation | 9234041682 | 91 |
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 K Conklin allows following entities to bill medicare on her behalf.
| Entity Name | Freeport Regional Health Care Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457337016
PECOS PAC ID: 9234041682
Enrollment ID: O20031104000182 |
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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. Angela K Conklin 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 |
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Angela K Conklin, APN/CNP
421 W Exchange St, Po Box 268,
Freeport, IL 61032-4008
Ph: (815) 599-7958 | Angela K Conklin, APN/CNP
1120 Healthcare Dr,
Mount Carroll, IL 61053-1461
Ph: (815) 244-4181 |
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