Jacqueline Ann Bode, APN - Medicare Nurse Practitioner in Champaign, IL

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Jacqueline Ann Bode, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Champaign, Illinois. Her current practice location is 205 W Park Ave Ste 103, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 284-6236.

Jacqueline Ann Bode is licensed to practice in Illinois (license number 277.002017) 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 1245572213.

Contact Information

Jacqueline Ann Bode, APN
205 W Park Ave Ste 103,
Champaign, IL 61820-7888
(217) 284-6236
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline Ann Bode
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location205 W Park Ave Ste 103, Champaign, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245572213
  • Provider Enumeration Date: 03/18/2013
  • Last Update Date: 05/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5597980094
  • Enrollment ID: I20140625000877

Medical Identifiers

Medical identifiers for Jacqueline Ann Bode such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245572213NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 277.002017 (Illinois)Primary
363LF0000XNurse Practitioner - Family 277.002017 (Illinois)Secondary

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. Jacqueline Ann Bode allows following entities to bill medicare on her behalf.
Entity NameGranite City Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659861953
PECOS PAC ID: 1951658285
Enrollment ID: O20180718001473
Entity NameBelleville Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225694946
PECOS PAC ID: 4183050362
Enrollment ID: O20200213000608
Entity NameWaterloo Urgent Care Walk In Clinic Company
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508471418
PECOS PAC ID: 3971911009
Enrollment ID: O20210409000649
Entity NameWood River Urgent Care And Walk In Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427717438
PECOS PAC ID: 3173917788
Enrollment ID: O20220224002310
Entity NameThriveworks Telepsychiatry - Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154099620
PECOS PAC ID: 4587035225
Enrollment ID: O20230117002207

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. Jacqueline Ann Bode 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
Jacqueline Ann Bode, APN
177 Jessica Dr,
Saint Jacob, IL 62281-1247

Ph: (618) 444-5491		Jacqueline Ann Bode, APN
205 W Park Ave Ste 103,
Champaign, IL 61820-7888

Ph: (217) 284-6236

Reviews and Comments


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Phone: 217-365-6207    Fax: 217-365-6380
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Maddison P. Draper, APN
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Miss Abigayl Frields, FNP
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Practice Location: 1813 W Kirby Ave Ste 120, Champaign, IL 61821
Phone: 217-383-3131    

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).

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