Mrs Ella Nora Wilson, FNP in Belleville, IL - Medicare Nurse Practitioner

Mrs Ella Nora Wilson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Belleville, Illinois. Her current practice location is 12 N 64th St, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 877-4420.

Mrs Ella Nora Wilson is licensed to practice in Illinois (license number 209-006175) 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 1275600702.

Contact Information

	Mrs Ella Nora Wilson, FNP
	12 N 64th St, Belleville, IL 62223-3809
	(618) 877-4420
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Ella Nora Wilson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	12 N 64th St, Belleville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275600702
Provider Enumeration Date: 11/29/2006
Last Update Date: 08/02/2013

Medicare PECOS Information:

PECOS PAC ID: 5799828778
Enrollment ID: I20100130000341

Medical Identifiers

Medical identifiers for Mrs Ella Nora Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275600702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209-006175 (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 Ella Nora Wilson allows following entities to bill medicare on her behalf.

Entity Name	Chestnut Health Systems, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366431686 PECOS PAC ID: 1052393063 Enrollment ID: O20040603000738

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 Ella Nora Wilson 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 Ella Nora Wilson, FNP 706 E Bridgeport St, Okawville, IL 62271-1156 Ph: (618) 314-2696	Mrs Ella Nora Wilson, FNP 12 N 64th St, Belleville, IL 62223-3809 Ph: (618) 877-4420

Reviews and Comments

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Pamela A O'neal, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Lincoln Place Ct, Belleville, IL 62221 Phone: 618-257-2029 Fax: 618-235-5371
Mrs. Deanna L. Rodenberg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4550 Memorial Dr, Ste. 340, Belleville, IL 62226 Phone: 618-257-6200 Fax: 618-257-6679
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Mrs Ella Nora Wilson, FNP - Medicare Nurse Practitioner in Belleville, IL