Kelley L Grewell, APRN in Mattoon, IL - Medicare Nurse Practitioner

Kelley L Grewell, APRN is a medicare enrolled "Nurse Practitioner - Family" in Mattoon, Illinois. Her current practice location is 1000 Health Center Dr Ste 201, Mattoon, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 258-4030.

Kelley L Grewell is licensed to practice in Illinois (license number 209.027905) 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 1568144459.

Contact Information

	Kelley L Grewell, APRN
	1000 Health Center Dr Ste 201, Mattoon, IL 61938-4639
	(217) 258-4030
	(217) 258-2353

Map and Direction

Provider's Profile

Full Name	Kelley L Grewell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1000 Health Center Dr Ste 201, Mattoon, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568144459
Provider Enumeration Date: 08/01/2023
Last Update Date: 09/28/2023

Medicare PECOS Information:

PECOS PAC ID: 7416304860
Enrollment ID: I20231107003000

Medical Identifiers

Medical identifiers for Kelley L Grewell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568144459	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209.027905 (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. Kelley L Grewell allows following entities to bill medicare on her behalf.

Entity Name	Sarah Bush Lincoln Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478

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. Kelley L Grewell 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
Kelley L Grewell, APRN Po Box 372, Mattoon, IL 61938-0372 Ph: (217) 868-2812	Kelley L Grewell, APRN 1000 Health Center Dr Ste 201, Mattoon, IL 61938-4639 Ph: (217) 258-4030

Reviews and Comments

Nurse Practitioner Nurses in Mattoon, IL

Diana L. Oakley, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Health Center Dr Ste 104, Mattoon, IL 61938 Phone: 217-258-2178 Fax: 217-258-4024
Penelope Shields, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 102, Mattoon, IL 61938 Phone: 217-258-4042 Fax: 217-258-4053
Emily N Hardiek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2512 Hurst Dr Ste 130, Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-3686
Robert C Atchley, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2551
Loring Barr, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323
Mrs. Stacey Tebbe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Coles Centre Dr, Mattoon, IL 61938 Phone: 217-234-5110
Tonya Sue White, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Lake Land Blvd, Mattoon, IL 61938 Phone: 217-258-3370

Kelley L Grewell, APRN - Medicare Nurse Practitioner in Mattoon, IL