Kellie Bibb, in Springfield, IL - Medicare Nurse Practitioner

Kellie Bibb, is a medicare enrolled "Nurse Practitioner - Family" in Springfield, Illinois. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Memorial Physician Services and her current practice location is 3220 Atlanta St, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 588-2600.

Kellie Bibb is licensed to practice in Illinois (license number 277.000110) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699147215.

Contact Information

	Kellie Bibb,
	3220 Atlanta St, Springfield, IL 62707-8801
	(217) 588-2600
	(217) 862-0202

Map and Direction

Provider's Profile

Full Name	Kellie Bibb
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	3220 Atlanta St, Springfield, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kellie Bibb graduated from nursing school in 2015

NPI Data:

NPI Number: 1699147215
Provider Enumeration Date: 10/22/2015
Last Update Date: 07/19/2022

Medicare PECOS Information:

PECOS PAC ID: 2264742360
Enrollment ID: I20151102001026

Medical Identifiers

Medical identifiers for Kellie Bibb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699147215	NPI	-	NPPES
041.382679	Other	IL	RN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209013401 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	277.000110 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Medical Center	Springfield, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorial Physician Services	9032005681	165

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. Kellie Bibb allows following entities to bill medicare on her behalf.

Entity Name	Memorial Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417922964 PECOS PAC ID: 9032005681 Enrollment ID: O20040223000454

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. Kellie Bibb 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
Kellie Bibb, Po Box 3428, Springfield, IL 62708-3428 Ph: (217) 588-2600	Kellie Bibb, 3220 Atlanta St, Springfield, IL 62707-8801 Ph: (217) 588-2600

Reviews and Comments

Nurse Practitioner Nurses in Springfield, IL

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
Lindsey Ostermeier, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3220 Atlanta St, Springfield, IL 62707 Phone: 217-588-7400
Jeremy Elliott, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541
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

Kellie Bibb, - Medicare Nurse Practitioner in Springfield, IL