Mrs Amber Lynn Wennerstrom, DNP, PMHNP-C in Centralia, IL

Mrs Amber Lynn Wennerstrom, DNP, PMHNP-C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Centralia, Illinois. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Physician Services Corporation Of Southern Illinois Inc and her current practice location is 444 N Pleasant Ave, Centralia, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 436-5665.

Mrs Amber Lynn Wennerstrom is licensed to practice in Illinois (license number 209021350) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144844572.

Contact Information

	Mrs Amber Lynn Wennerstrom, DNP, PMHNP-C
	444 N Pleasant Ave, Centralia, IL 62801-3006
	(618) 436-5665
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Amber Lynn Wennerstrom
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	444 N Pleasant Ave, Centralia, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Amber Lynn Wennerstrom graduated from nursing school in 2020

NPI Data:

NPI Number: 1144844572
Provider Enumeration Date: 06/01/2020
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 5698199867
Enrollment ID: I20200721001970

Medical Identifiers

Medical identifiers for Mrs Amber Lynn Wennerstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144844572	NPI	-	NPPES
209021350	Other	IL	STATE BOARD OF NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	209021350 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ssm Health St Mary's Hospital -centralia	Centralia, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physician Services Corporation Of Southern Illinois Inc	9234022567	100

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 Amber Lynn Wennerstrom allows following entities to bill medicare on her behalf.

Entity Name	St Marys Hospital Centralia Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118

Entity Name	Physician Services Corporation Of Southern Illinois Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583

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 Amber Lynn Wennerstrom 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 Amber Lynn Wennerstrom, DNP, PMHNP-C 550 Clinton St, Carlyle, IL 62231-1504 Ph: (618) 920-9057	Mrs Amber Lynn Wennerstrom, DNP, PMHNP-C 444 N Pleasant Ave, Centralia, IL 62801-3006 Ph: (618) 436-5665

Reviews and Comments

Nurse Practitioner Nurses in Centralia, IL

Mr. Dale D Pearce, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1535 W Mccord St, Centralia, IL 62801 Phone: 618-533-1811
Alexis Wernsman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1052 Ml King Drive, Suite 2, Centralia, IL 62801 Phone: 618-436-5410 Fax: 618-436-8063
Ms. Jessica Lynn Chapman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1535 W Mccord St, Centralia, IL 62801 Phone: 618-532-1811
Andrea Marie Johnson, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-5665 Fax: 618-436-8042
Stacy D Menees, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 432 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-8300
Janet Rose Merrell, MSN, APN, CNS, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 904 M L King Dr, Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012

Mrs Amber Lynn Wennerstrom, DNP, PMHNP-C - Medicare Nurse Practitioner in Centralia, IL