Ms Monique Manderson, FNP-C, PMHNP-BC - Medicare Nurse Practitioner in Glen Carbon, IL

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Ms Monique Manderson, FNP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Glen Carbon, Illinois. Her current practice location is 14 Crabapple Ln, Glen Carbon, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 801-6677.

Ms Monique Manderson is licensed to practice in Florida (license number 11014186) 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 1619360070.

Contact Information

Ms Monique Manderson, FNP-C, PMHNP-BC
14 Crabapple Ln,
Glen Carbon, IL 62034-3024
(618) 801-6677
Not Available

Map and Direction




Provider's Profile

Full NameMs Monique Manderson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location14 Crabapple Ln, Glen Carbon, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619360070
  • Provider Enumeration Date: 03/10/2015
  • Last Update Date: 07/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5890015994
  • Enrollment ID: I20160909001608

Medical Identifiers

Medical identifiers for Ms Monique Manderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619360070NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209012605 (Illinois)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP11235 (Arizona)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61438293 (Washington)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 11014186 (Florida)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. Ms Monique Manderson allows following entities to bill medicare on her behalf.
Entity NameIllinois Department Of Human Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003960394
PECOS PAC ID: 9830003920
Enrollment ID: O20031113000414
Entity NameGood Samaritan Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487758801
PECOS PAC ID: 1658272059
Enrollment ID: O20040119000325
Entity NameSt Marys Hospital Centralia Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770687196
PECOS PAC ID: 6709788920
Enrollment ID: O20040127000118
Entity NameForefront-khatkhate Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164076683
PECOS PAC ID: 4082944335
Enrollment ID: O20190930000792

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. Ms Monique Manderson 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
Ms Monique Manderson, FNP-C, PMHNP-BC
224 E Palm Dr,
Lakeland, FL 33803-2648

Ph: (708) 205-3517		Ms Monique Manderson, FNP-C, PMHNP-BC
14 Crabapple Ln,
Glen Carbon, IL 62034-3024

Ph: (618) 801-6677

Reviews and Comments


Nurse Practitioner Nurses in Glen Carbon, IL

April Noel Oehl, APN-FNP
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Samantha Alexandria Collins, DNP,FNP-C
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Mrs. Kirby L Klostermann, FNP
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Crystal Bradley, FNP-C, FPA
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Phone: 872-713-7614    
Kaitlyn Juilfs, NP
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Medicare: Medicare Enrolled
Practice Location: 4802 S. Il-159, Glen Carbon, IL 62034
Phone: 618-451-0500    

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).

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