Mr Angelito Dariel Tacderas, APN in Marion, IL

Mr Angelito Dariel Tacderas, APN is a medicare enrolled "Nurse Practitioner" in Marion, Illinois. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Kemell Health Llc, Advanced Kidney Institute, L.l.c. and his current practice location is 3331 W Deyoung St, Ste 308, Marion, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 997-1200.

Mr Angelito Dariel Tacderas is licensed to practice in Illinois (license number 209.007762) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467785014.

Contact Information

	Mr Angelito Dariel Tacderas, APN
	3331 W Deyoung St, Ste 308, Marion, IL 62959-5896
	(618) 997-1200
	(618) 997-1212

Map and Direction

Provider's Profile

Full Name	Mr Angelito Dariel Tacderas
Gender	Male
Speciality	Nurse Practitioner
Experience	15 Years
Location	3331 W Deyoung St, Marion, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Angelito Dariel Tacderas graduated from nursing school in 2009

NPI Data:

NPI Number: 1467785014
Provider Enumeration Date: 09/15/2009
Last Update Date: 09/15/2009

Medicare PECOS Information:

PECOS PAC ID: 6406987643
Enrollment ID: I20100701000503

Medical Identifiers

Medical identifiers for Mr Angelito Dariel Tacderas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467785014	NPI	-	NPPES
PENDING	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209.007762 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Anna Hospital Corporation D/b/a Union County Hospital	Anna, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kemell Health Llc	5597189571	2
Advanced Kidney Institute, L.l.c.	5991743262	2

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. Mr Angelito Dariel Tacderas allows following entities to bill medicare on his behalf.

Entity Name	Advanced Kidney Institute, L.l.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932237815 PECOS PAC ID: 5991743262 Enrollment ID: O20050419000430

Entity Name	Kemell Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487274247 PECOS PAC ID: 5597189571 Enrollment ID: O20220511000883

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. Mr Angelito Dariel Tacderas 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
Mr Angelito Dariel Tacderas, APN Po Box 430, Marion, IL 62959-0430 Ph: (618) 997-1200	Mr Angelito Dariel Tacderas, APN 3331 W Deyoung St, Ste 308, Marion, IL 62959-5896 Ph: (618) 997-1200

Reviews and Comments

Nurse Practitioner Nurses in Marion, IL

Era Louise Mattingly, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11522 White Pine Ave, Marion, IL 62959 Phone: 618-889-4834
Jessie Nicole Fox, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2808 Outer Dr, Marion, IL 62959 Phone: 618-993-3817
Ms. Peggy Boyd, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3106 Outer Dr, Marion, IL 62959 Phone: 618-997-4332 Fax: 618-997-6205
Donna R Walters, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3408 Office Park Dr, Marion, IL 62959 Phone: 618-997-5266 Fax: 618-997-5285
Mrs. Holly Ann Gates, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3111 Williamson County Pkwy, Marion, IL 62959 Phone: 618-519-9200 Fax: 618-985-9155
Rhonda Raye Heatherly, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 S Vicksburg St, Marion, IL 62959 Phone: 618-998-1900
Michelle Wharton, APN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3412 Office Park Dr, Marion, IL 62959 Phone: 618-993-0404

Mr Angelito Dariel Tacderas, APN - Medicare Nurse Practitioner in Marion, IL