Mrs Kathryn Joan Hamblen, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Chebanse, Illinois. Her current practice location is
579 E 6000s Rd, Chebanse, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 867-2561.
Mrs Kathryn Joan Hamblen is licensed to practice in Illinois (license number 277001634) 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 1740615145.
Provider's Profile
| Full Name | Mrs Kathryn Joan Hamblen |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 579 E 6000s Rd, Chebanse, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740615145
- Provider Enumeration Date: 09/05/2013
- Last Update Date: 06/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183855612
- Enrollment ID: I20140327000396
Medical Identifiers
Medical identifiers for Mrs Kathryn Joan Hamblen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740615145 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 5018952 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71325 (Idaho) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-191879 (Alabama) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | TS0001571 (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 11021212 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 277001634 (Illinois) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 209010678 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2024010995 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 234030 (Louisiana) | Secondary |
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 Kathryn Joan Hamblen allows following entities to bill medicare on her behalf.
| Entity Name | Riverside Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417061193
PECOS PAC ID: 3274434717
Enrollment ID: O20040116000780 |
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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 Kathryn Joan Hamblen 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 Kathryn Joan Hamblen, FNP-BC
579 E 6000s Rd,
Chebanse, IL 60922-5069
Ph: () - | Mrs Kathryn Joan Hamblen, FNP-BC
579 E 6000s Rd,
Chebanse, IL 60922-5069
Ph: (815) 867-2561 |
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