Elizabeth Clay, FNP-BC in Freeport, IL - Medicare Nurse Practitioner

Elizabeth Clay, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Freeport, Illinois. Her current practice location is 595 N Henderson Rd, Freeport, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 238-3579.

Elizabeth Clay is licensed to practice in Illinois (license number 209.026944) 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 1184338857.

Contact Information

	Elizabeth Clay, FNP-BC
	595 N Henderson Rd, Freeport, IL 61032-9018
	(815) 238-3579
	Not Available

Map and Direction

Provider's Profile

Full Name	Elizabeth Clay
Gender	Female
Speciality	Nurse Practitioner - Family
Location	595 N Henderson Rd, Freeport, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184338857
Provider Enumeration Date: 01/09/2023
Last Update Date: 03/22/2023

Medicare PECOS Information:

PECOS PAC ID: 6709243157
Enrollment ID: I20230531001454

Medical Identifiers

Medical identifiers for Elizabeth Clay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184338857	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0000X	Registered Nurse - General Practice	041.450374 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	209.026944 (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. Elizabeth Clay allows following entities to bill medicare on her behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Elizabeth Clay 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
Elizabeth Clay, FNP-BC 595 N Henderson Rd, Freeport, IL 61032-9018 Ph: (815) 238-3579	Elizabeth Clay, FNP-BC 595 N Henderson Rd, Freeport, IL 61032-9018 Ph: (815) 238-3579

Reviews and Comments

Nurse Practitioner Nurses in Freeport, IL

Shannon Kaye Lizer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 Kiwanis Dr, Freeport, IL 61032 Phone: 815-235-4881
Danielle E Siedschlag, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 N Harlem Ave, Freeport, IL 61032 Phone: 815-599-7750
Tamisha Bonvillain, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-6000
Lynda A Shiro, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-7740 Fax: 815-599-7983
Mrs. Susan Marie Tuell, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 667 W Fairview Rd, Freeport, IL 61032 Phone: 815-233-5734 Fax: 815-233-5754
Judy Cullor, APRN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-7730
Mrs. Michelle Leigh Volling, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 S. Kiwanis Dr, Freeport, IL 61032 Phone: 815-235-4881 Fax: 815-232-4614

Elizabeth Clay, FNP-BC - Medicare Nurse Practitioner in Freeport, IL