Doris Fandohan, NURSE PRACTITIONER - Medicare Nurse Practitioner in Blue Island, IL

Doris Fandohan, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Blue Island, Illinois. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Oak Street Health Physicians Group Pc and her current practice location is 3046 127th St, Blue Island, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 377-7920.

Doris Fandohan is licensed to practice in Illinois (license number 209019405) 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 1679038186.

Contact Information

Doris Fandohan, NURSE PRACTITIONER
3046 127th St,
Blue Island, IL 60406-1827
(708) 377-7920
(708) 930-0414

Map and Direction




Provider's Profile

Full NameDoris Fandohan
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location3046 127th St, Blue Island, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Doris Fandohan graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1679038186
  • Provider Enumeration Date: 02/08/2019
  • Last Update Date: 04/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1557603974
  • Enrollment ID: I20200501000028

Medical Identifiers

Medical identifiers for Doris Fandohan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679038186NPI-NPPES
71008752AOtherINNURSE PRACTITIONER LICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71008752A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 209019405 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oak Street Health Physicians Group Pc7517109879187

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. Doris Fandohan allows following entities to bill medicare on her behalf.
Entity NameOak Street Health Physicians Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083051643
PECOS PAC ID: 7517109879
Enrollment ID: O20130815000670

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. Doris Fandohan 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
Doris Fandohan, NURSE PRACTITIONER
30 W Monroe St Ste 1200,
Chicago, IL 60603-2420

Ph: (312) 733-9730
Doris Fandohan, NURSE PRACTITIONER
3046 127th St,
Blue Island, IL 60406-1827

Ph: (708) 377-7920

Reviews and Comments


Nurse Practitioner Nurses in Blue Island, IL

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Phone: 708-377-7920    Fax: 708-930-0414
Maricsa Sanchez,
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Practice Location: 12757 Western Ave, Blue Island, IL 60406
Phone: 708-293-8437    

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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