Mary Marlene Holmstrom, MSN, APRN, WHNP-BC - Medicare Nurse Practitioner in La Grange Highlands, IL

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Mary Marlene Holmstrom, MSN, APRN, WHNP-BC is a medicare enrolled "Nurse Practitioner - Women's Health" in La Grange Highlands, Illinois. Her current practice location is 5201 Willow Springs Rd Ste 490, La Grange Highlands, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 352-4630.

Mary Marlene Holmstrom is licensed to practice in Illinois (license number 209.026895) 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 1063176220.

Contact Information

Mary Marlene Holmstrom, MSN, APRN, WHNP-BC
5201 Willow Springs Rd Ste 490,
La Grange Highlands, IL 60525-6548
(708) 352-4630
(708) 352-8348

Map and Direction




Provider's Profile

Full NameMary Marlene Holmstrom
GenderFemale
SpecialityNurse Practitioner - Women's Health
Location5201 Willow Springs Rd Ste 490, La Grange Highlands, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063176220
  • Provider Enumeration Date: 10/25/2021
  • Last Update Date: 05/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9234594581
  • Enrollment ID: I20230420002458

Medical Identifiers

Medical identifiers for Mary Marlene Holmstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063176220NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LW0102XNurse Practitioner - Women's Health 209.026895 (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. Mary Marlene Holmstrom allows following entities to bill medicare on her behalf.
Entity NameDupage Medical Group Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Mary Marlene Holmstrom 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
Mary Marlene Holmstrom, MSN, APRN, WHNP-BC
Po Box 713260,
Chicago, IL 60677-1260

Ph: (630) 469-9200		Mary Marlene Holmstrom, MSN, APRN, WHNP-BC
5201 Willow Springs Rd Ste 490,
La Grange Highlands, IL 60525-6548

Ph: (708) 352-4630

Reviews and Comments


Nurse Practitioner Nurses in La Grange Highlands, IL

Hillari Hanley, APRN-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6555 Willow Springs Rd, La Grange Highlands, IL 60525
Phone: 708-482-9700    Fax: 708-482-0217
Joanna M Lee,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5201 Willow Springs Rd Ste 380, La Grange Highlands, IL 60525
Phone: 708-354-2550    Fax: 708-354-4552
Mrs. Dione F Valentino, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5201 Willow Springs Rd Ste 260, La Grange Highlands, IL 60525
Phone: 630-573-5000    Fax: 708-354-1538
Elizabeth Drumm,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5201 Willow Springs Rd Ste 430, La Grange Highlands, IL 60525
Phone: 781-744-5115    Fax: 781-744-5687
Leonor De Asis Banez, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5201 Willow Springs Rd Ste 260, La Grange Highlands, IL 60525
Phone: 630-554-3456    
Jayci Nicole Dubik, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5201 Willow Springs Rd Ste 110, La Grange Highlands, IL 60525
Phone: 708-482-4500    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.