Michael Don Summers, CNP is a medicare enrolled "Nurse Practitioner - Family" in New Burnside, Illinois. His current practice location is
470 Washington Ln, New Burnside, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 218-6302.
Michael Don Summers is licensed to practice in Illinois (license number 209.023439) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154991933.
Provider's Profile
| Full Name | Michael Don Summers |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 470 Washington Ln, New Burnside, Illinois |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1154991933
- Provider Enumeration Date: 06/25/2021
- Last Update Date: 06/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 3072989870
- Enrollment ID: I20221019002366
Medical Identifiers
Medical identifiers for Michael Don Summers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154991933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 209.023439 (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. Michael Don Summers allows following entities to bill medicare on his behalf.
| Entity Name | Neuropathy Center Of Marion |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1740957786
PECOS PAC ID: 2769873058
Enrollment ID: O20211221001338 |
|---|
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. Michael Don Summers 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 |
|---|
Michael Don Summers, CNP
470 Washington Ln,
New Burnside, IL 62967-1141
Ph: (618) 218-6302 | Michael Don Summers, CNP
470 Washington Ln,
New Burnside, IL 62967-1141
Ph: (618) 218-6302 |
Reviews and Comments