Mr Brown Ehis, is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family" in Matteson, Illinois. His current practice location is
6006 Colgate Ln, Matteson, Illinois. You can reach out to his office (for appointments etc.) via phone at
(773) 716-6869.
Mr Brown Ehis is licensed to practice in Illinois (license number 209025914) 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 1912628371.
Provider's Profile
Full Name | Mr Brown Ehis |
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Gender | Male |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family |
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Location | 6006 Colgate Ln, Matteson, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912628371
- Provider Enumeration Date: 09/06/2022
- Last Update Date: 12/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254773682
- Enrollment ID: I20240530001387
Medical Identifiers
Medical identifiers for Mr Brown Ehis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912628371 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SP0810X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family | 209025914 (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. Mr Brown Ehis allows following entities to bill medicare on his behalf.
Entity Name | Heart Of Rose Psychiatry Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295504959 PECOS PAC ID: 9436591864 Enrollment ID: O20240530001271 |
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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. Mr Brown Ehis 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 Brown Ehis, 6006 Colgate Ln, Matteson, IL 60443-1995 Ph: () - | Mr Brown Ehis, 6006 Colgate Ln, Matteson, IL 60443-1995 Ph: (773) 716-6869 |
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