Elizabeth Illenberg, FNP - Medicare Nurse Practitioner in Tullahoma, TN

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Elizabeth Illenberg, FNP is a medicare enrolled "Nurse Practitioner - Family" in Tullahoma, Tennessee. Her current practice location is 600 N Jackson St, Tullahoma, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 563-5469.

Elizabeth Illenberg is licensed to practice in Tennessee (license number 22622) 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 1295263192.

Contact Information

Elizabeth Illenberg, FNP
600 N Jackson St,
Tullahoma, TN 37388-3542
(931) 563-5469
Not Available

Map and Direction




Provider's Profile

Full NameElizabeth Illenberg
GenderFemale
SpecialityNurse Practitioner - Family
Location600 N Jackson St, Tullahoma, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295263192
  • Provider Enumeration Date: 05/23/2017
  • Last Update Date: 05/23/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8022387661
  • Enrollment ID: I20170712004157

Medical Identifiers

Medical identifiers for Elizabeth Illenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295263192NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 22622 (Tennessee)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 Illenberg allows following entities to bill medicare on her behalf.
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112
Entity NameIpc Pac Healthcare Services Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104277656
PECOS PAC ID: 0840587572
Enrollment ID: O20160928000541
Entity NameNv Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210903001263

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 Illenberg 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
Elizabeth Illenberg, FNP
151 Edna W Grooms Ln,
Watertown, TN 37184-1078

Ph: () -		Elizabeth Illenberg, FNP
600 N Jackson St,
Tullahoma, TN 37388-3542

Ph: (931) 563-5469

Reviews and Comments


Nurse Practitioner Nurses in Tullahoma, TN

Mrs. Shonda Tormohlen, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 108 E Lauderdale St, Tullahoma, TN 37388
Phone: 423-309-9650    
Sharon Lynn Gilliam, MSN CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 150 Jack Farrar Ln, Tullahoma, TN 37388
Phone: 931-455-2766    Fax: 931-455-2829
Melissa Ann Perry, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 710 Kings Ln, Tullahoma, TN 37388
Phone: 931-962-4040    
Robbie M. Webb, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1801 N Jackson St, Tullahoma, TN 37388
Phone: 931-461-4921    Fax: 931-461-4677
Kacy Mikala Kirk, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1803 N Jackson St, Tullahoma, TN 37388
Phone: 931-455-3400    
Ladonna Marie Ledford, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 215 S Anderson St, Tullahoma, TN 37388
Phone: 931-563-7464    Fax: 931-563-7401
Jason A. Martin,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 600 N Jackson St, Tullahoma, TN 37388
Phone: 931-563-5463    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.