Mrs Ernestine Monica Koehn, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Mt. Prospect, Illinois. Her current practice location is
800 E. Northwest Highway, Mt. Prospect, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 299-4952.
Mrs Ernestine Monica Koehn is licensed to practice in Illinois (license number 209.009215) 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 1467710046.
Provider's Profile
Full Name | Mrs Ernestine Monica Koehn |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 800 E. Northwest Highway, Mt. Prospect, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467710046
- Provider Enumeration Date: 05/02/2012
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 9335302363
- Enrollment ID: I20120531000313
Medical Identifiers
Medical identifiers for Mrs Ernestine Monica Koehn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467710046 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209.009215 (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 Ernestine Monica Koehn allows following entities to bill medicare on her behalf.
Entity Name | Iari Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033495288 PECOS PAC ID: 9931373446 Enrollment ID: O20111118000474 |
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Entity Name | Anointed Hands Physical Therapy And Fitness Center |
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Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Entity Identifiers | NPI Number: 1003164906 PECOS PAC ID: 1052551132 Enrollment ID: O20130715000056 |
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Entity Name | Med Management Indiana Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225519333 PECOS PAC ID: 5698027266 Enrollment ID: O20190923001268 |
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Entity Name | Infinite Care Home Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104460922 PECOS PAC ID: 7517399942 Enrollment ID: O20191122001755 |
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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 Ernestine Monica Koehn 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 Ernestine Monica Koehn, FNP-BC 800 E. Northwest Highway, Mt. Prospect, IL 60056 Ph: (847) 867-7924 | Mrs Ernestine Monica Koehn, FNP-BC 800 E. Northwest Highway, Mt. Prospect, IL 60056 Ph: (847) 299-4952 |
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