Mrs Kellie Marie Kozlowski, PMHNP-BC in Princeton, IL

Mrs Kellie Marie Kozlowski, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Princeton, Illinois. Her current practice location is 1916 North Main Street, Princeton, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 915-8748.

Mrs Kellie Marie Kozlowski is licensed to practice in Illinois (license number 209.017042) 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 1588164610.

Contact Information

	Mrs Kellie Marie Kozlowski, PMHNP-BC
	1916 North Main Street, Princeton, IL 61356
	(815) 915-8748
	(815) 664-0508

Map and Direction

Provider's Profile

Full Name	Mrs Kellie Marie Kozlowski
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1916 North Main Street, Princeton, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588164610
Provider Enumeration Date: 02/15/2018
Last Update Date: 06/29/2021

Medicare PECOS Information:

PECOS PAC ID: 8426455528
Enrollment ID: I20230712000115

Medical Identifiers

Medical identifiers for Mrs Kellie Marie Kozlowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588164610	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209.017042 (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. Mrs Kellie Marie Kozlowski allows following entities to bill medicare on her behalf.

Entity Name	Osf Healthcare System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679606073 PECOS PAC ID: 4284541806 Enrollment ID: O20070503000249

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Mrs Kellie Marie Kozlowski 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
Mrs Kellie Marie Kozlowski, PMHNP-BC 1916 North Main Street, Princeton, IL 61356 Ph: (815) 915-8748	Mrs Kellie Marie Kozlowski, PMHNP-BC 1916 North Main Street, Princeton, IL 61356 Ph: (815) 915-8748

Reviews and Comments

Nurse Practitioner Nurses in Princeton, IL

Ms. Stephanie Louise Mickley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 Park Ave E Ste 207, Princeton, IL 61356 Phone: 815-875-8666
Micah W Mcneill, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 Park Ave E, Princeton, IL 61356 Phone: 815-875-2811 Fax: 815-876-4471
Abby Ruth Vladika, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 535 Park Ave E, Princeton, IL 61356 Phone: 815-875-4531 Fax: 815-876-2118
Rebekka J Root, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2128 N Main St, Princeton, IL 61356 Phone: 815-875-2273 Fax: 815-207-8682
Carol A Debruhl, APN, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 535 Park Ave E, Princeton, IL 61356 Phone: 815-875-4531 Fax: 815-876-2119
Anna M Freeman, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 535 Park Ave E, Princeton, IL 61356 Phone: 815-875-4531
Mrs. Elizabeth Marie Birkey, CNM, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15549 1400 North Ave, Princeton, IL 61356 Phone: 815-878-3358

Mrs Kellie Marie Kozlowski, PMHNP-BC - Medicare Nurse Practitioner in Princeton, IL