Mr Daniel Thomas Foutch, APRN, PMHNP-BC - Medicare Nurse Practitioner in Mahomet, IL

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Mr Daniel Thomas Foutch, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mahomet, Illinois. His current practice location is 1204 E Oak St Ste 2-2, Mahomet, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 530-5608.

Mr Daniel Thomas Foutch is licensed to practice in Illinois (license number 209023867) 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 1669149134.

Contact Information

Mr Daniel Thomas Foutch, APRN, PMHNP-BC
1204 E Oak St Ste 2-2,
Mahomet, IL 61853-2795
(217) 530-5608
(309) 981-8714

Map and Direction




Provider's Profile

Full NameMr Daniel Thomas Foutch
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1204 E Oak St Ste 2-2, Mahomet, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669149134
  • Provider Enumeration Date: 08/24/2021
  • Last Update Date: 08/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4880084607
  • Enrollment ID: I20211209000207

Medical Identifiers

Medical identifiers for Mr Daniel Thomas Foutch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669149134NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209023867 (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 Daniel Thomas Foutch allows following entities to bill medicare on his behalf.
Entity NamePavilion Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518930619
PECOS PAC ID: 7911043740
Enrollment ID: O20091008000646
Entity NameGrit And Grace Therapy Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013666015
PECOS PAC ID: 2062889371
Enrollment ID: O20221028002667

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 Daniel Thomas Foutch 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
Mr Daniel Thomas Foutch, APRN, PMHNP-BC
809 W Church St,
Champaign, IL 61820-3320

Ph: (217) 530-5608		Mr Daniel Thomas Foutch, APRN, PMHNP-BC
1204 E Oak St Ste 2-2,
Mahomet, IL 61853-2795

Ph: (217) 530-5608

Reviews and Comments


Nurse Practitioner Nurses in Mahomet, IL

Casie Danielle Mcclellan, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1504 Patton Dr, Mahomet, IL 61853
Phone: 217-586-2633    Fax: 217-590-0272
Mrs. Helena Diane Longfellow, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1504 Patton Dr, Mahomet, IL 61853
Phone: 217-586-2633    Fax: 217-590-0272
Beth Mathews, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1504 Patton Dr, Unit 2, Mahomet, IL 61853
Phone: 217-784-2633    Fax: 217-590-0272
Megan Kathleen Ramirez, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1204 E Oak St. Bldg 2 Suite 2, Mahomet, IL 61853
Phone: 217-530-5608    Fax: 309-981-8714
Meldomi Asabea Asante, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1506 Amy Dr, Mahomet, IL 61853
Phone: 301-651-0193    

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.

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