Gina N Neis, APN in Burr Ridge, IL - Medicare Nurse Practitioner

Gina N Neis, APN is a medicare enrolled "Nurse Practitioner - Family" in Burr Ridge, Illinois. Her current practice location is 11s250 S Jackson St Ste 102, Burr Ridge, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 451-9503.

Gina N Neis is licensed to practice in Illinois (license number 209014502) 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 1558714212.

Contact Information

	Gina N Neis, APN
	11s250 S Jackson St Ste 102, Burr Ridge, IL 60527-6887
	(630) 451-9503
	Not Available

Map and Direction

Provider's Profile

Full Name	Gina N Neis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	11s250 S Jackson St Ste 102, Burr Ridge, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558714212
Provider Enumeration Date: 07/18/2016
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1052608072
Enrollment ID: I20160920000063

Medical Identifiers

Medical identifiers for Gina N Neis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558714212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209014502 (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. Gina N Neis allows following entities to bill medicare on her behalf.

Entity Name	Advanced Integrative Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497937536 PECOS PAC ID: 4789610619 Enrollment ID: O20050712001134

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. Gina N Neis 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
Gina N Neis, APN 11s250 S Jackson St Ste 102, Burr Ridge, IL 60527-6887 Ph: (630) 581-5171	Gina N Neis, APN 11s250 S Jackson St Ste 102, Burr Ridge, IL 60527-6887 Ph: (630) 451-9503

Reviews and Comments

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Gina N Neis, APN - Medicare Nurse Practitioner in Burr Ridge, IL