Farzaneh Moh Entezari, APN in Champaign, IL - Medicare Nurse Practitioner

Farzaneh Moh Entezari, APN is a medicare enrolled "Nurse Practitioner - Family" in Champaign, Illinois. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vitae Health Of Illinois Llc, Radial Health Sc and her current practice location is 1701 Curtis Rd, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 365-6207.

Farzaneh Moh Entezari is licensed to practice in Illinois (license number 209022654) 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 1770177172.

Contact Information

	Farzaneh Moh Entezari, APN
	1701 Curtis Rd, Champaign, IL 61822-9678
	(217) 365-6207
	Not Available

Map and Direction

Provider's Profile

Full Name	Farzaneh Moh Entezari
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	1701 Curtis Rd, Champaign, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Farzaneh Moh Entezari graduated from nursing school in 2020

NPI Data:

NPI Number: 1770177172
Provider Enumeration Date: 02/25/2021
Last Update Date: 11/07/2024

Medicare PECOS Information:

PECOS PAC ID: 9234537564
Enrollment ID: I20211018000762

Medical Identifiers

Medical identifiers for Farzaneh Moh Entezari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770177172	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	209.022654 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	209022654 (Illinois)	Primary
163W00000X	Registered Nurse	041.438415 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Osf Sacred Heart Medical Center	Danville, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vitae Health Of Illinois Llc	2365798410	149
Radial Health Sc	4385537299	11

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. Farzaneh Moh Entezari allows following entities to bill medicare on her behalf.

Entity Name	Lynn Mershon Do Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215954185 PECOS PAC ID: 4385537299 Enrollment ID: O20040204001001

Entity Name	Vitae Health Of Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838

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. Farzaneh Moh Entezari 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
Farzaneh Moh Entezari, APN 611 W Park St, Fapc, Urbana, IL 61801-2500 Ph: () -	Farzaneh Moh Entezari, APN 1701 Curtis Rd, Champaign, IL 61822-9678 Ph: (217) 365-6207

Reviews and Comments

Nurse Practitioner Nurses in Champaign, IL

Emily Stephenson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-6207 Fax: 217-365-6380
Mrs. Tiffany Ann Rushing, APN, FNP-BC, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1802 S Mattis Ave, Champaign, IL 61821 Phone: 217-365-2855 Fax: 217-365-2856
Maddison P. Draper, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2718 N Prospect Ave, Champaign, IL 61822 Phone: 217-337-3852 Fax: 217-337-3853
Jessica Lynn Mandrell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 819 Bloomington Rd, Champaign, IL 61820 Phone: 217-356-1558
Ms. Greta Obereiner, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1801 Windsor Rd, Champaign, IL 61822 Phone: 217-366-8130 Fax: 217-366-6106
Alger Penas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 S 1st St, Champaign, IL 61820 Phone: 217-383-9400 Fax: 217-383-9691
Miss Abigayl Frields, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1813 W Kirby Ave Ste 120, Champaign, IL 61821 Phone: 217-383-3131

Farzaneh Moh Entezari, APN - Medicare Nurse Practitioner in Champaign, IL