Dr Amber M Altidor, DNP, APRN, PMHNP-BC in Springfield, IL

Dr Amber M Altidor, DNP, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Springfield, Illinois. Her current practice location is 2501 Chatham Rd, Ste 4134, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 716-3478.

Dr Amber M Altidor is licensed to practice in Illinois (license number 209024124) 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 1407528987.

Contact Information

	Dr Amber M Altidor, DNP, APRN, PMHNP-BC
	2501 Chatham Rd, Ste 4134, Springfield, IL 62704-6270
	(773) 716-3478
	(618) 822-4030

Map and Direction

Provider's Profile

Full Name	Dr Amber M Altidor
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2501 Chatham Rd, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407528987
Provider Enumeration Date: 10/02/2021
Last Update Date: 12/15/2023

Medicare PECOS Information:

PECOS PAC ID: 9739571522
Enrollment ID: I20230821003181

Medical Identifiers

Medical identifiers for Dr Amber M Altidor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407528987	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	209024124 (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. Dr Amber M Altidor allows following entities to bill medicare on her behalf.

Entity Name	Rush University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228

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. Dr Amber M Altidor 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
Dr Amber M Altidor, DNP, APRN, PMHNP-BC 2501 Chatham Road, Suite 4134, Springfield, IL 62704-5746 Ph: (773) 716-3478	Dr Amber M Altidor, DNP, APRN, PMHNP-BC 2501 Chatham Rd, Ste 4134, Springfield, IL 62704-6270 Ph: (773) 716-3478

Reviews and Comments

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Dr Amber M Altidor, DNP, APRN, PMHNP-BC - Medicare Nurse Practitioner in Springfield, IL