Jeric Agnes, FNP-BC - Medicare Nurse Practitioner in Long Grove, IL

  1. Home
  2. Nurse Practitioner
  3. IL
  4. Long Grove
Jeric Agnes, FNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Long Grove, Illinois. His current practice location is 3880 Salem Lake Dr Ste F, Long Grove, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 719-2220.

Jeric Agnes is licensed to practice in Illinois (license number 209021968) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114532611.

Contact Information

Jeric Agnes, FNP-BC
3880 Salem Lake Dr Ste F,
Long Grove, IL 60047-5292
(847) 719-2220
(847) 719-2265

Map and Direction




Provider's Profile

Full NameJeric Agnes
GenderMale
SpecialityNurse Practitioner - Adult Health
Location3880 Salem Lake Dr Ste F, Long Grove, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114532611
  • Provider Enumeration Date: 09/10/2020
  • Last Update Date: 10/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4284037722
  • Enrollment ID: I20220921002205

Medical Identifiers

Medical identifiers for Jeric Agnes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114532611NPI-NPPES
209021968MedicaidIL
MA6346173OtherILDEA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041435789 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209021968 (Illinois)Secondary
363LA2200XNurse Practitioner - Adult Health 209021968 (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. Jeric Agnes allows following entities to bill medicare on his behalf.
Entity NameBest Practices Inpatient Care, Ltd.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619913522
PECOS PAC ID: 5799687372
Enrollment ID: O20040123000525
Entity NameAdvanced Medical Consultations Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407220015
PECOS PAC ID: 8820391949
Enrollment ID: O20160125000971
Entity NameEaves Health Partners Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639847551
PECOS PAC ID: 2466844220
Enrollment ID: O20220128000341

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. Jeric Agnes 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
Jeric Agnes, FNP-BC
3880 Salem Lake Dr Ste F,
Long Grove, IL 60047-5292

Ph: (847) 719-2220		Jeric Agnes, FNP-BC
3880 Salem Lake Dr Ste F,
Long Grove, IL 60047-5292

Ph: (847) 719-2220

Reviews and Comments


Nurse Practitioner Nurses in Long Grove, IL

Helen E Okorie, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047
Phone: 847-719-2220    Fax: 847-719-2265
Johnnie Dominica Johnson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047
Phone: 847-719-2220    Fax: 847-719-2265
Mrs. Nicole Brooke Kinberg,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3880 Salem Lake Dr # F, Long Grove, IL 60047
Phone: 847-719-2220    
Rebecca Lynne Smith, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3880 Salem Lake Dr # F, Long Grove, IL 60047
Phone: 847-719-2220    Fax: 847-719-2265
Julie A Grandolfo, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047
Phone: 847-719-2220    Fax: 847-719-2265
Miss Monica Lisa Bieszczad, FNP-BC
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047
Phone: 847-719-2220    Fax: 847-719-2265
Angela Rose Depa,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047
Phone: 847-719-2220    Fax: 847-719-2265

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.