Miss Elizabeth W Boone, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in N Riverside, Illinois. Her current practice location is
2213 Burr Oak Ave, N Riverside, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 562-6850.
Miss Elizabeth W Boone is licensed to practice in Illinois (license number 209.012250) 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 1235517954.
Provider's Profile
| Full Name | Miss Elizabeth W Boone |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2213 Burr Oak Ave, N Riverside, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1235517954
- Provider Enumeration Date: 05/14/2015
- Last Update Date: 05/14/2015
Medicare PECOS Information:
- PECOS PAC ID: 1355617515
- Enrollment ID: I20171017000580
Medical Identifiers
Medical identifiers for Miss Elizabeth W Boone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235517954 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 041.385304 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209.012250 (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. Miss Elizabeth W Boone allows following entities to bill medicare on her behalf.
| Entity Name | Oak Street Health Physicians Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083051643
PECOS PAC ID: 7517109879
Enrollment ID: O20130815000670 |
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| Entity Name | Osh-il Physicians Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265977698
PECOS PAC ID: 3870877699
Enrollment ID: O20170222002860 |
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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. Miss Elizabeth W Boone 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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Miss Elizabeth W Boone, NURSE PRACTITIONER
2213 Burr Oak Ave,
N Riverside, IL 60546-1317
Ph: (773) 562-6850 | Miss Elizabeth W Boone, NURSE PRACTITIONER
2213 Burr Oak Ave,
N Riverside, IL 60546-1317
Ph: (773) 562-6850 |
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