Chelsea Lynnea Wichtner, is a medicare enrolled "Nurse Practitioner" in Gilman, Illinois. Her current practice location is
720 S Crescent St Ste B, Gilman, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 265-8889.
Chelsea Lynnea Wichtner is licensed to practice in Illinois (license number 209018536) 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 1245713064.
Provider's Profile
| Full Name | Chelsea Lynnea Wichtner |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 720 S Crescent St Ste B, Gilman, 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: 1245713064
- Provider Enumeration Date: 09/07/2018
- Last Update Date: 02/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 3779822564
- Enrollment ID: I20190221001713
Medical Identifiers
Medical identifiers for Chelsea Lynnea Wichtner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245713064 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WC0200X | Registered Nurse - Critical Care Medicine | 041.405529 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209018536 (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. Chelsea Lynnea Wichtner allows following entities to bill medicare on her behalf.
| Entity Name | Iroquois Memorial Hospital And Resident Home |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629003470
PECOS PAC ID: 4385551258
Enrollment ID: O20040517000306 |
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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. Chelsea Lynnea Wichtner 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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Chelsea Lynnea Wichtner,
200 E Fairman Ave,
Watseka, IL 60970-1644
Ph: (815) 432-5841 | Chelsea Lynnea Wichtner,
720 S Crescent St Ste B,
Gilman, IL 60938-1518
Ph: (815) 265-8889 |
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