Zachary Backlin, DNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Greenup, Illinois. His current practice location is
106 W Cumberland St, Greenup, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 849-4199.
Zachary Backlin is licensed to practice in Illinois (license number 277.001827) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871150946.
Provider's Profile
Full Name | Zachary Backlin |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 106 W Cumberland St, Greenup, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871150946
- Provider Enumeration Date: 05/23/2019
- Last Update Date: 07/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385073055
- Enrollment ID: I20200331002880
Medical Identifiers
Medical identifiers for Zachary Backlin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871150946 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277.001827 (Illinois) | Primary |
363L00000X | Nurse Practitioner | 209019479 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209019479 (Illinois) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 229454 (Arizona) | Secondary |
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. Zachary Backlin allows following entities to bill medicare on his behalf.
Entity Name | Noble Health Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841928488 PECOS PAC ID: 9638555949 Enrollment ID: O20221010001419 |
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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. Zachary Backlin 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 |
Zachary Backlin, DNP Po Box 232, Toledo, IL 62468-0232 Ph: (217) 273-3017 | Zachary Backlin, DNP 106 W Cumberland St, Greenup, IL 62428-1072 Ph: (217) 849-4199 |
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