Carolyn Hagerty, FNP-BC - Medicare Nurse Practitioner in Bloomington, IL

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Carolyn Hagerty, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Bloomington, Illinois. Her current practice location is 1111 Trinity Ln Ste 111, Bloomington, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 663-6461.

Carolyn Hagerty is licensed to practice in Illinois (license number 209.024736) 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 1942954169.

Contact Information

Carolyn Hagerty, FNP-BC
1111 Trinity Ln Ste 111,
Bloomington, IL 61704-8112
(309) 663-6461
Not Available

Map and Direction




Provider's Profile

Full NameCarolyn Hagerty
GenderFemale
SpecialityNurse Practitioner - Family
Location1111 Trinity Ln Ste 111, Bloomington, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942954169
  • Provider Enumeration Date: 02/07/2022
  • Last Update Date: 10/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0840666194
  • Enrollment ID: I20221012000965

Medical Identifiers

Medical identifiers for Carolyn Hagerty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942954169NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 2029.024736 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209.024736 (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. Carolyn Hagerty allows following entities to bill medicare on her behalf.
Entity NameChicago Pain Medicine Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669429890
PECOS PAC ID: 1355432014
Enrollment ID: O20070809000347
Entity NameAllied Health Group, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467574731
PECOS PAC ID: 9032207733
Enrollment ID: O20071114000041
Entity NameApplebaum Physiatry Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700598059
PECOS PAC ID: 8729453436
Enrollment ID: O20230412000147

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. Carolyn Hagerty 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 AddressPractice Location Address
Carolyn Hagerty, FNP-BC
611 W Park St, Fapc,
Urbana, IL 61801-2500

Ph: () -		Carolyn Hagerty, FNP-BC
1111 Trinity Ln Ste 111,
Bloomington, IL 61704-8112

Ph: (309) 663-6461

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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