Kerri Douglas, FNP-BC in Oak Lawn, IL - Medicare Nurse Practitioner

Kerri Douglas, FNP-BC is a medicare enrolled "Nurse Practitioner" in Oak Lawn, Illinois. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dupage Medical Group Ltd and her current practice location is 4061 W 95th St, Oak Lawn, Illinois. You can reach out to her office (for appointments etc.) via phone at (888) 693-6437.

Kerri Douglas is licensed to practice in Illinois (license number 209.023877) 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 1386318798.

Contact Information

	Kerri Douglas, FNP-BC
	4061 W 95th St, Oak Lawn, IL 60453-2611
	(888) 693-6437
	Not Available

Map and Direction

Provider's Profile

Full Name	Kerri Douglas
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	4061 W 95th St, Oak Lawn, 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:

Kerri Douglas graduated from nursing school in 2021

NPI Data:

NPI Number: 1386318798
Provider Enumeration Date: 08/09/2021
Last Update Date: 06/30/2023

Medicare PECOS Information:

PECOS PAC ID: 6800293929
Enrollment ID: I20210916000516

Medical Identifiers

Medical identifiers for Kerri Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386318798	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041431669 (Illinois)	Secondary
363L00000X	Nurse Practitioner	209.023877 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Silver Cross Hospital And Medical Centers	New lenox, IL	Hospital
Palos Community Hospital	Palos heights, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dupage Medical Group Ltd	5496667941	1186

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. Kerri Douglas allows following entities to bill medicare on her behalf.

Entity Name	Dupage Medical Group Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20040412001479

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. Kerri Douglas 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
Kerri Douglas, FNP-BC Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200	Kerri Douglas, FNP-BC 4061 W 95th St, Oak Lawn, IL 60453-2611 Ph: (888) 693-6437

Reviews and Comments

Nurse Practitioner Nurses in Oak Lawn, IL

Danielle Robinson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 310, Oak Lawn, IL 60453 Phone: 708-684-9230 Fax: 708-684-9231
Amy Simone, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 404, Oak Lawn, IL 60453 Phone: 800-323-8622
Andrea Christina Hammond, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5354
Molly Ann Best, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5437 Fax: 708-684-4808
Mr. Kevin Vermeer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4061 W 95th St, Oak Lawn, IL 60453 Phone: 630-790-1872 Fax: 708-229-0090
Diana Polkowska, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-612-6133
Gloria Mudryj, MSN, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-2153

Kerri Douglas, FNP-BC - Medicare Nurse Practitioner in Oak Lawn, IL