Lavada Rainier Simpson, in Centralia, IL - Medicare Nurse Practitioner

Lavada Rainier Simpson, is a medicare enrolled "Nurse Practitioner - Family" in Centralia, Illinois. Her current practice location is 1003 E Mccord St, Centralia, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 436-6633.

Lavada Rainier Simpson is licensed to practice in Illinois (license number 209028436041414056) 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 1780452235.

Contact Information

	Lavada Rainier Simpson,
	1003 E Mccord St, Centralia, IL 62801-3345
	(618) 436-6633
	Not Available

Map and Direction

Provider's Profile

Full Name	Lavada Rainier Simpson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1003 E Mccord St, Centralia, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780452235
Provider Enumeration Date: 12/14/2023
Last Update Date: 12/14/2023

Medicare PECOS Information:

PECOS PAC ID: 9234573288
Enrollment ID: I20240216003798

Medical Identifiers

Medical identifiers for Lavada Rainier Simpson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780452235	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209028436041414056 (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. Lavada Rainier Simpson allows following entities to bill medicare on her behalf.

Entity Name	Physician Services Corporation Of Southern Illinois Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583

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. Lavada Rainier Simpson 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
Lavada Rainier Simpson, 1003 E Mccord St, Centralia, IL 62801-3345 Ph: (618) 436-6633	Lavada Rainier Simpson, 1003 E Mccord St, Centralia, IL 62801-3345 Ph: (618) 436-6633

Reviews and Comments

Nurse Practitioner Nurses in Centralia, IL

Mr. Dale D Pearce, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1535 W Mccord St, Centralia, IL 62801 Phone: 618-533-1811
Alexis Wernsman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1052 Ml King Drive, Suite 2, Centralia, IL 62801 Phone: 618-436-5410 Fax: 618-436-8063
Mrs. Amber Lynn Wennerstrom, DNP, PMHNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-5665
Ms. Jessica Lynn Chapman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1535 W Mccord St, Centralia, IL 62801 Phone: 618-532-1811
Andrea Marie Johnson, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-5665 Fax: 618-436-8042
Stacy D Menees, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 432 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-8300
Janet Rose Merrell, MSN, APN, CNS, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 904 M L King Dr, Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012

Lavada Rainier Simpson, - Medicare Nurse Practitioner in Centralia, IL