Letitia Fabian, is a medicare enrolled "Nurse Practitioner - Family" in Prospect Heights, Illinois. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Endeavor Health Medical Group and her current practice location is
302 Elm St, Prospect Heights, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 807-4718.
Letitia Fabian is licensed to practice in Illinois (license number 209.015385) 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 1881134781.
Provider's Profile
| Full Name | Letitia Fabian |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 302 Elm St, Prospect Heights, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Letitia Fabian graduated from nursing school in 2016
NPI Data:
- NPI Number: 1881134781
- Provider Enumeration Date: 02/27/2017
- Last Update Date: 02/27/2017
Medicare PECOS Information:
- PECOS PAC ID: 1557646965
- Enrollment ID: I20170328000707
Medical Identifiers
Medical identifiers for Letitia Fabian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881134781 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209.015385 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Endeavor Health Medical Group | 2163334699 | 2710 |
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. Letitia Fabian allows following entities to bill medicare on her behalf.
| Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118 |
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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. Letitia Fabian 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 |
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Letitia Fabian,
302 Elm St,
Prospect Heights, IL 60070-1456
Ph: () - | Letitia Fabian,
302 Elm St,
Prospect Heights, IL 60070-1456
Ph: (773) 807-4718 |
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