Kendra Ann Pauley, in Kankakee, IL - Medicare Nurse Practitioner

Kendra Ann Pauley, is a medicare enrolled "Nurse Practitioner" in Kankakee, Illinois. Her current practice location is 375 N Wall St Ste P510, Kankakee, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 935-0750.

Kendra Ann Pauley is licensed to practice in Illinois (license number 209027052) 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 1720792617.

Contact Information

	Kendra Ann Pauley,
	375 N Wall St Ste P510, Kankakee, IL 60901-3492
	(815) 935-0750
	Not Available

Map and Direction

Provider's Profile

Full Name	Kendra Ann Pauley
Gender	Female
Speciality	Nurse Practitioner
Location	375 N Wall St Ste P510, Kankakee, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720792617
Provider Enumeration Date: 01/06/2023
Last Update Date: 05/04/2023

Medicare PECOS Information:

PECOS PAC ID: 6204201742
Enrollment ID: I20230414000048

Medical Identifiers

Medical identifiers for Kendra Ann Pauley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720792617	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041454399 (Illinois)	Secondary
363L00000X	Nurse Practitioner	209027052 (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. Kendra Ann Pauley allows following entities to bill medicare on her behalf.

Entity Name	Riverside Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780

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. Kendra Ann Pauley 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
Kendra Ann Pauley, 375 N Wall St Ste P510, Kankakee, IL 60901-3492 Ph: (815) 935-0750	Kendra Ann Pauley, 375 N Wall St Ste P510, Kankakee, IL 60901-3492 Ph: (815) 935-0750

Reviews and Comments

Nurse Practitioner Nurses in Kankakee, IL

Ms. Katherine Marie Leclear, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671
Judith D Magdziarz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1701 E Court St, Kankakee, IL 60901 Phone: 815-935-9395 Fax: 815-935-1187
Tracey Samantha Peachey, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 N Wall St Ste 102, Kankakee, IL 60901 Phone: 815-928-5090 Fax: 815-928-5079
Kendra G Hansen, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall St, Kankakee, IL 60901 Phone: 844-404-4787 Fax: 815-936-3243
Jolene T Maass, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2200 Fax: 815-937-2258
Brianna C Neal, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 70 Meadowview Ctr Ste 300, Kankakee, IL 60901 Phone: 815-802-0022 Fax: 815-802-0011
Rebecca Leonhardt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 W. Court Street, Kankakee, IL 60468 Phone: 815-937-2200 Fax: 815-937-2258

Kendra Ann Pauley, - Medicare Nurse Practitioner in Kankakee, IL