Kim Mank, ACNP - Medicare Nurse Practitioner in Belleville, IL

Kim Mank, ACNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Belleville, Illinois. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fairview Heights Medical Group Sc and her current practice location is 4600 Memorial Dr Ste 200, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 233-2220.

Kim Mank is licensed to practice in Illinois (license number 209007723) 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 1639406879.

Contact Information

Kim Mank, ACNP
4600 Memorial Dr Ste 200,
Belleville, IL 62226-5363
(618) 233-2220
Not Available

Map and Direction




Provider's Profile

Full NameKim Mank
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location4600 Memorial Dr Ste 200, Belleville, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kim Mank graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1639406879
  • Provider Enumeration Date: 11/09/2009
  • Last Update Date: 03/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1951443530
  • Enrollment ID: I20100120000246

Medical Identifiers

Medical identifiers for Kim Mank such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639406879NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209007723 (Illinois)Secondary
363LA2100XNurse Practitioner - Acute Care 209.007723 (Illinois)Secondary
363LA2200XNurse Practitioner - Adult Health 209007723 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial HospitalBelleville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Heights Medical Group Sc6800784083346

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. Kim Mank allows following entities to bill medicare on her behalf.
Entity NameFairview Heights Medical Group Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679503668
PECOS PAC ID: 6800784083
Enrollment ID: O20040309000650
Entity NameCep America-illinois Hospitalists, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841613403
PECOS PAC ID: 3274765904
Enrollment ID: O20140411001788

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. Kim Mank 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 AddressPractice Location Address
Kim Mank, ACNP
4600 Memorial Dr Ste 200,
Belleville, IL 62226-5363

Ph: (618) 233-2220
Kim Mank, ACNP
4600 Memorial Dr Ste 200,
Belleville, IL 62226-5363

Ph: (618) 233-2220

Reviews and Comments


Nurse Practitioner Nurses in Belleville, IL

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Phone: 618-257-5455    Fax: 618-257-4490
Mr. Lito T Rufin, NP
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Pamela A O'neal, NP
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Mrs. Deanna L. Rodenberg, NP
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Practice Location: 4550 Memorial Dr, Ste. 340, Belleville, IL 62226
Phone: 618-257-6200    Fax: 618-257-6679
Katherine Ann Combs, FNP
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Practice Location: 4700 Memorial Dr Ste 250, Belleville, IL 62226
Phone: 618-212-6560    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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