Grace Nwaka Wabomnor, ANP in South Holland, IL

Grace Nwaka Wabomnor, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in South Holland, Illinois. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 17 E Grandview Dr, South Holland, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 439-5003.

Grace Nwaka Wabomnor is licensed to practice in Illinois (license number 209018727) 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 1548725799.

Contact Information

	Grace Nwaka Wabomnor, ANP
	17 E Grandview Dr, South Holland, IL 60473-1099
	(708) 439-5003
	Not Available

Map and Direction

Provider's Profile

Full Name	Grace Nwaka Wabomnor
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	17 E Grandview Dr, South Holland, 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:

Grace Nwaka Wabomnor graduated from nursing school in 2015

NPI Data:

NPI Number: 1548725799
Provider Enumeration Date: 02/01/2019
Last Update Date: 02/01/2019

Medicare PECOS Information:

PECOS PAC ID: 0042552200
Enrollment ID: I20190508002619

Medical Identifiers

Medical identifiers for Grace Nwaka Wabomnor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548725799	NPI	-	NPPES
209018727	Other	IL	ILLINOIS DEPT OF FINANCIAL AND PROFESSIONAL REGULATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	209018727 (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. Grace Nwaka Wabomnor allows following entities to bill medicare on her behalf.

Entity Name	Illinois Doctors On Demand
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780148072 PECOS PAC ID: 7416297916 Enrollment ID: O20190320001158

Entity Name	Wholebody Visiting Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851927446 PECOS PAC ID: 3678992872 Enrollment ID: O20201007000464

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. Grace Nwaka Wabomnor 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
Grace Nwaka Wabomnor, ANP 17 E Grandview Dr, South Holland, IL 60473-1099 Ph: (708) 439-5003	Grace Nwaka Wabomnor, ANP 17 E Grandview Dr, South Holland, IL 60473-1099 Ph: (708) 439-5003

Reviews and Comments

Nurse Practitioner Nurses in South Holland, IL

Mrs. Kenisha Davis, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16266 Prince Dr, South Holland, IL 60473 Phone: 708-222-7333 Fax: 708-221-0501
Sandra Karim, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16003 Louis Ave, South Holland, IL 60473 Phone: 312-218-5220
Mrs. Jennifer Norris Rosas, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15821 S Park Ave, South Holland, IL 60473 Phone: 708-225-0200 Fax: 708-225-0202
Ms. Rebecca Cummings, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200
Karen Fields, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16456 Dobson Ave, South Holland, IL 60473 Phone: 773-241-9300 Fax: 219-513-9446
Alexandra Mendez, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 685 E 154th Pl, South Holland, IL 60473 Phone: 773-407-5366
Tanesha N Turner, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200 Fax: 708-210-0625

Grace Nwaka Wabomnor, ANP - Medicare Nurse Practitioner in South Holland, IL