Jeremy Elliott, in Springfield, IL - Medicare Nurse Practitioner

Jeremy Elliott, is a medicare enrolled "Nurse Practitioner - Family" in Springfield, Illinois. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Thomas H Boyd Memorial Hospital and his current practice location is 1025 S 6th St, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 528-7541.

Jeremy Elliott is licensed to practice in Illinois (license number 209022227) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003416546.

Contact Information

	Jeremy Elliott,
	1025 S 6th St, Springfield, IL 62703-2499
	(217) 528-7541
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeremy Elliott
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	1025 S 6th St, Springfield, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jeremy Elliott graduated from nursing school in 2020

NPI Data:

NPI Number: 1003416546
Provider Enumeration Date: 10/26/2020
Last Update Date: 11/01/2024

Medicare PECOS Information:

PECOS PAC ID: 3678984556
Enrollment ID: I20201125000758

Medical Identifiers

Medical identifiers for Jeremy Elliott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003416546	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209022227 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thomas H Boyd Memorial Hospital	Carrollton, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Thomas H Boyd Memorial Hospital	8123085560	24

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. Jeremy Elliott allows following entities to bill medicare on his behalf.

Entity Name	Thomas H Boyd Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811096811 PECOS PAC ID: 8123085560 Enrollment ID: O20041216000800

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. Jeremy Elliott 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
Jeremy Elliott, Po Box 19248, Springfield, IL 62794-9248 Ph: () -	Jeremy Elliott, 1025 S 6th St, Springfield, IL 62703-2499 Ph: (217) 528-7541

Reviews and Comments

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Alissa Danielle Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3132 Old Jacksonville Rd, Suite 200, Springfield, IL 62704 Phone: 217-862-0800
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Jessica L Lee, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 W Carpenter St, Springfield, IL 62702 Phone: 217-528-7541 Fax: 217-528-7144
Mr. Jay Benoit, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 747 N Rutledge St Fl 5, Springfield, IL 62702 Phone: 217-545-8000
Rebecca L Saunders, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 N 8th St, Pav 4b, Springfield, IL 62701 Phone: 217-545-7500 Fax: 217-545-7305
Melanie R Reynolds, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3132 Old Jacksonville Rd, Suite 200, Springfield, IL 62704 Phone: 217-862-0730 Fax: 217-862-0822

Jeremy Elliott, - Medicare Nurse Practitioner in Springfield, IL