Mrs Agnieszka Stanislawa Basta, APN in Joliet, IL

Mrs Agnieszka Stanislawa Basta, APN is a medicare enrolled "Nurse Practitioner - Family" in Joliet, Illinois. Her current practice location is 1201 Eagle Street, Joliet, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 740-8100.

Mrs Agnieszka Stanislawa Basta is licensed to practice in Illinois (license number 209016452) 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 1598274466.

Contact Information

	Mrs Agnieszka Stanislawa Basta, APN
	1201 Eagle Street, Joliet, IL 60432
	(815) 740-8100
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Agnieszka Stanislawa Basta
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1201 Eagle Street, Joliet, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598274466
Provider Enumeration Date: 09/23/2017
Last Update Date: 09/23/2017

Medicare PECOS Information:

PECOS PAC ID: 7113285321
Enrollment ID: I20171218000143

Medical Identifiers

Medical identifiers for Mrs Agnieszka Stanislawa Basta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598274466	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209016452 (Illinois)	Primary

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. Mrs Agnieszka Stanislawa Basta 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
Mrs Agnieszka Stanislawa Basta, APN 24522 North Kelsey Road, Lake Barrington, IL 60010 Ph: (847) 224-4576	Mrs Agnieszka Stanislawa Basta, APN 1201 Eagle Street, Joliet, IL 60432 Ph: (815) 740-8100

Reviews and Comments

Nurse Practitioner Nurses in Joliet, IL

Tasha Dawn Horsley, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1541 Riverboat Center Dr, Joliet, IL 60431 Phone: 815-409-4930 Fax: 815-741-3263
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Danielle Marie Ratazak, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 S Chicago St, Joliet, IL 60436 Phone: 815-634-0100
Stacey Rogers, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2319 Manhattan Rd, Joliet, IL 60433 Phone: 708-223-2698
Maureen Ann Gorszczyk, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 Water Stone Cir, Joliet, IL 60431 Phone: 815-740-4104

Mrs Agnieszka Stanislawa Basta, APN - Medicare Nurse Practitioner in Joliet, IL