Melissa Whitworth, FNP in Belleville, IL - Medicare Nurse Practitioner

Melissa Whitworth, FNP is a medicare enrolled "Nurse Practitioner - Family" in Belleville, Illinois. Her current practice location is 4500 Memorial Dr, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 233-7750.

Melissa Whitworth is licensed to practice in Illinois (license number 209025373) 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 1871295188.

Contact Information

	Melissa Whitworth, FNP
	4500 Memorial Dr, Belleville, IL 62226-5360
	(618) 233-7750
	Not Available

Map and Direction

Provider's Profile

Full Name	Melissa Whitworth
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4500 Memorial Dr, Belleville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871295188
Provider Enumeration Date: 03/20/2023
Last Update Date: 07/21/2023

Medicare PECOS Information:

PECOS PAC ID: 9830543024
Enrollment ID: I20230921001779

Medical Identifiers

Medical identifiers for Melissa Whitworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871295188	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209025373 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	209025373 (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. Melissa Whitworth allows following entities to bill medicare on her behalf.

Entity Name	Fairview Heights Medical Group Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650

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. Melissa Whitworth 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
Melissa Whitworth, FNP 4500 Memorial Dr, Belleville, IL 62226-5360 Ph: (618) 233-7750	Melissa Whitworth, FNP 4500 Memorial Dr, Belleville, IL 62226-5360 Ph: (618) 233-7750

Reviews and Comments

Nurse Practitioner Nurses in Belleville, IL

Kelsey Beasley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3060 Harvest Meadow Dr, Belleville, IL 62221 Phone: 618-792-8887
Ms. Lauren Nicole Marshall, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-5455 Fax: 618-257-4490
Mr. Lito T Rufin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220
Cindy L. Auld, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Ste. 400, Belleville, IL 62226 Phone: 618-234-2390 Fax: 618-234-9936
Pamela A O'neal, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Lincoln Place Ct, Belleville, IL 62221 Phone: 618-257-2029 Fax: 618-235-5371
Mrs. Deanna L. Rodenberg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4550 Memorial Dr, Ste. 340, Belleville, IL 62226 Phone: 618-257-6200 Fax: 618-257-6679
Katherine Ann Combs, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4700 Memorial Dr Ste 250, Belleville, IL 62226 Phone: 618-212-6560

Melissa Whitworth, FNP - Medicare Nurse Practitioner in Belleville, IL