Mrs Bonnie Jean Coburn, NP in Decatur, IL - Medicare Nurse Practitioner

Mrs Bonnie Jean Coburn, NP is a medicare enrolled "Nurse Practitioner - Family" in Decatur, Illinois. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Memorial Physician Services and her current practice location is 4455 E Us Route 36, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 588-2600.

Mrs Bonnie Jean Coburn is licensed to practice in Illinois (license number 277000529) 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 1720165103.

Contact Information

	Mrs Bonnie Jean Coburn, NP
	4455 E Us Route 36, Decatur, IL 62521-5003
	(217) 588-2600
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Bonnie Jean Coburn
Gender	Female
Speciality	Nurse Practitioner
Experience	18 Years
Location	4455 E Us Route 36, Decatur, 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 Bonnie Jean Coburn graduated from nursing school in 2006

NPI Data:

NPI Number: 1720165103
Provider Enumeration Date: 11/01/2006
Last Update Date: 12/06/2023

Medicare PECOS Information:

PECOS PAC ID: 1951309558
Enrollment ID: I20061114000644

Medical Identifiers

Medical identifiers for Mrs Bonnie Jean Coburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720165103	NPI	-	NPPES
041292879	Medicaid	IL
036102377 1	Medicaid	IL
433990	Other	IL	MEDICARE GROUP
1497762959 1	Medicaid	IL
P00678744	Other	IL	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209006142 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	277000529 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Medical Center	Springfield, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorial Physician Services	9032005681	165

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 Bonnie Jean Coburn allows following entities to bill medicare on her behalf.

Entity Name	Sarah Bush Lincoln Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478

Entity Name	Memorial Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417922964 PECOS PAC ID: 9032005681 Enrollment ID: O20040223000454

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 Bonnie Jean Coburn 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 Bonnie Jean Coburn, NP 2300 N Edward St Ste 6102, Decatur, IL 62526-4163 Ph: (217) 876-6456	Mrs Bonnie Jean Coburn, NP 4455 E Us Route 36, Decatur, IL 62521-5003 Ph: (217) 588-2600

Reviews and Comments

Nurse Practitioner Nurses in Decatur, IL

Mr. Jason Grauer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121
Angelique Bautista Gabat, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2300 N Edward St Ste 2400, Decatur, IL 62526 Phone: 217-876-2400 Fax: 217-876-2405
Christine M Meeker, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2126
Nicole Marie Lord, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1770 E Lake Shore Dr, #309, Decatur, IL 62521 Phone: 217-422-9740
Matya Leann Riley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 Fax: 217-362-6290
Mr. Aaron Todd Bell, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St Ste 2400, Decatur, IL 62526 Phone: 217-876-2400 Fax: 217-876-2405
Kimberly A Kish, APN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2880 N Monroe St, Decatur, IL 62526 Phone: 217-330-8939 Fax: 217-330-9063

Mrs Bonnie Jean Coburn, NP - Medicare Nurse Practitioner in Decatur, IL