Jazira Sultanova, NP in Mchenry, IL - Medicare Nurse Practitioner

Jazira Sultanova, NP is a medicare enrolled "Nurse Practitioner - Family" in Mchenry, Illinois. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rockford Psychiatric Medical Services Sc and her current practice location is 3922 Mercy Dr, Mchenry, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 344-4499.

Jazira Sultanova is licensed to practice in Illinois (license number 277.001903) 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 1508238221.

Contact Information

	Jazira Sultanova, NP
	3922 Mercy Dr, Mchenry, IL 60050-3179
	(815) 344-4499
	Not Available

Map and Direction

Provider's Profile

Full Name	Jazira Sultanova
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	3922 Mercy Dr, Mchenry, 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:

Jazira Sultanova graduated from nursing school in 2016

NPI Data:

NPI Number: 1508238221
Provider Enumeration Date: 10/21/2015
Last Update Date: 06/14/2022

Medicare PECOS Information:

PECOS PAC ID: 3678874096
Enrollment ID: I20201204000302

Medical Identifiers

Medical identifiers for Jazira Sultanova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508238221	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	277.001903 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rockford Psychiatric Medical Services Sc	6901089515	62

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. Jazira Sultanova allows following entities to bill medicare on her behalf.

Entity Name	Mercy Health System Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031111000307

Entity Name	Rockford Psychiatric Medical Services Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821391442 PECOS PAC ID: 6901089515 Enrollment ID: O20110318000777

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. Jazira Sultanova 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
Jazira Sultanova, NP 3922 Mercy Dr, Mchenry, IL 60050-3179 Ph: (815) 344-4499	Jazira Sultanova, NP 3922 Mercy Dr, Mchenry, IL 60050-3179 Ph: (815) 344-4499

Reviews and Comments

Nurse Practitioner Nurses in Mchenry, IL

Mrs. Josette Dutcher, APRN-BC, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3925 W Elm St, Mchenry, IL 60050 Phone: 800-323-8622 Fax: 224-225-0396
Magaly Nickles, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4309 W Medical Center Dr Ste B305, Mchenry, IL 60050 Phone: 847-802-7400
Lindsay Ann Mattes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3901 Mercy Dr, Mchenry, IL 60050 Phone: 815-363-9900
Katarzyna Maria Brozek, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-344-5000
Nichole N Clark, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 633 Ridgeview Dr, Mchenry, IL 60050 Phone: 815-344-0621 Fax: 815-344-0664
Tanya Tanzillo, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2507 N Richmond Rd, Mchenry, IL 60051 Phone: 815-338-6600 Fax: 815-759-4078
Carrie A Hauck, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008

Jazira Sultanova, NP - Medicare Nurse Practitioner in Mchenry, IL