Mrs Amanda Marie Kubis, in Monmouth, IL - Medicare Nurse Practitioner

Mrs Amanda Marie Kubis, is a medicare enrolled "Nurse Practitioner - Family" in Monmouth, Illinois. Her current practice location is 2 Industrial Park Rd, Monmouth, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 734-9376.

Mrs Amanda Marie Kubis is licensed to practice in Illinois (license number 209-028929) 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 1134993967.

Contact Information

	Mrs Amanda Marie Kubis,
	2 Industrial Park Rd, Monmouth, IL 61462-9698
	(309) 734-9376
	(309) 734-5338

Map and Direction

Provider's Profile

Full Name	Mrs Amanda Marie Kubis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2 Industrial Park Rd, Monmouth, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134993967
Provider Enumeration Date: 11/13/2023
Last Update Date: 11/28/2023

Medicare PECOS Information:

PECOS PAC ID: 2264885201
Enrollment ID: I20240126000402

Medical Identifiers

Medical identifiers for Mrs Amanda Marie Kubis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134993967	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209-028929 (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. Mrs Amanda Marie Kubis allows following entities to bill medicare on her behalf.

Entity Name	Western Illinois Home Provider Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437925393 PECOS PAC ID: 8729431762 Enrollment ID: O20240126000348

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 Amanda Marie Kubis 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 Amanda Marie Kubis, 2 Industrial Park Rd, Monmouth, IL 61462-9698 Ph: (309) 734-9376	Mrs Amanda Marie Kubis, 2 Industrial Park Rd, Monmouth, IL 61462-9698 Ph: (309) 734-9376

Reviews and Comments

Nurse Practitioner Nurses in Monmouth, IL

Laurel Lynn Welty, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 722 N 10th St, Monmouth, IL 61462 Phone: 317-473-3587
Tonya Renee Gibbs, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1000 W Harlem Ave, Monmouth, IL 61462 Phone: 309-734-3141 Fax: 309-734-3029
Carrie Anne Green, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1000 W Harlem Ave, Monmouth, IL 61462 Phone: 309-734-1414 Fax: 309-734-0323
Kathryn Elizabeth Ringberg, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 W Harlem Ave, Monmouth, IL 61462 Phone: 309-734-1414
Mrs. Rebecca Jo Colston, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 W Harlem Ave, Monmouth, IL 61462 Phone: 309-734-3141
Jennifer Lynn Lemaster, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 418 N C St, Monmouth, IL 61462 Phone: 708-942-5592

Mrs Amanda Marie Kubis, - Medicare Nurse Practitioner in Monmouth, IL