Mrs Kathleen Lally, NP in Normal, IL - Medicare Nurse Practitioner

Mrs Kathleen Lally, NP is a medicare enrolled "Nurse Practitioner - Family" in Normal, Illinois. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Midwest Allergy Sinus Asthma Sc and her current practice location is 2010 Jacobssen Dr, Normal, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 452-0995.

Mrs Kathleen Lally is licensed to practice in Illinois (license number 209017197) 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 1508365842.

Contact Information

	Mrs Kathleen Lally, NP
	2010 Jacobssen Dr, Normal, IL 61761-6280
	(309) 452-0995
	(309) 862-0961

Map and Direction

Provider's Profile

Full Name	Mrs Kathleen Lally
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	2010 Jacobssen Dr, Normal, 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 Kathleen Lally graduated from nursing school in 2017

NPI Data:

NPI Number: 1508365842
Provider Enumeration Date: 02/01/2018
Last Update Date: 05/14/2024

Medicare PECOS Information:

PECOS PAC ID: 9739411737
Enrollment ID: I20191024000095

Medical Identifiers

Medical identifiers for Mrs Kathleen Lally such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508365842	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209017197 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midwest Allergy Sinus Asthma Sc	3870722283	10

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 Kathleen Lally allows following entities to bill medicare on her behalf.

Entity Name	Midwest Allergy Sinus Asthma Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225466881 PECOS PAC ID: 3870722283 Enrollment ID: O20140206000211

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 Kathleen Lally 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 Kathleen Lally, NP 2010 Jacobssen Dr, Normal, IL 61761-6280 Ph: (309) 452-0995	Mrs Kathleen Lally, NP 2010 Jacobssen Dr, Normal, IL 61761-6280 Ph: (309) 452-0995

Reviews and Comments

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Bethani Christianson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Fort Jesse Rd Ste 110, Normal, IL 61761 Phone: 309-661-6290
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Jessica Johann, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Fort Jesse Rd, 110, Normal, IL 61761 Phone: 309-661-6290 Fax: 309-451-1354
Ami Meyer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400
Jennifer Lanz, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Suite 4500, Normal, IL 61761 Phone: 309-556-8300 Fax: 309-556-8293
Jaycie N Liebendorfer, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Suite 1100, Normal, IL 61761 Phone: 309-268-2727

Mrs Kathleen Lally, NP - Medicare Nurse Practitioner in Normal, IL