Mrs Katlyn Poupore, RN in Oak Park, IL - Medicare Nurse Practitioner

Mrs Katlyn Poupore, RN is a medicare enrolled "Nurse Practitioner" in Oak Park, Illinois. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Physicians Immediate Care North Chicago Pllc and her current practice location is 3 Erie Ct, Oak Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 763-6747.

Mrs Katlyn Poupore is licensed to practice in Illinois (license number 209013226) 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 1154676625.

Contact Information

	Mrs Katlyn Poupore, RN
	3 Erie Ct, Oak Park, IL 60302-2519
	(708) 763-6747
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Katlyn Poupore
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	3 Erie Ct, Oak Park, 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 Katlyn Poupore graduated from nursing school in 2015

NPI Data:

NPI Number: 1154676625
Provider Enumeration Date: 07/19/2012
Last Update Date: 12/08/2017

Medicare PECOS Information:

PECOS PAC ID: 9931408689
Enrollment ID: I20160502000071

Medical Identifiers

Medical identifiers for Mrs Katlyn Poupore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154676625	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	04138163 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	209013226 (Illinois)	Secondary
363L00000X	Nurse Practitioner	209013226 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physicians Immediate Care North Chicago Pllc	8729064159	208

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 Katlyn Poupore allows following entities to bill medicare on her behalf.

Entity Name	Physicians Immediate Care Ltd.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528046323 PECOS PAC ID: 4486568813 Enrollment ID: O20031118001089

Entity Name	Physicians Immediate Care North Chicago Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381

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 Katlyn Poupore 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 Katlyn Poupore, RN 6110 N Ottawa Ave, Chicago, IL 60631-3813 Ph: (773) 391-7381	Mrs Katlyn Poupore, RN 3 Erie Ct, Oak Park, IL 60302-2519 Ph: (708) 763-6747

Reviews and Comments

Nurse Practitioner Nurses in Oak Park, IL

Karen Ann B Denkov, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3 Erie Ct, Oak Park, IL 60302 Phone: 708-763-1476
Travis Andrew Tirpak, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Erie Ct, Oak Park, IL 60302 Phone: 708-763-6747
Lauren Marion, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 Lake St Ste 619, Oak Park, IL 60301 Phone: 708-524-1400
Richard Henry Logan, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 Lake St Ste 110, Oak Park, IL 60301 Phone: 331-529-7413 Fax: 877-428-7891
Jenna Pederson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3 Erie Ct Ste 1300, Oak Park, IL 60302 Phone: 708-406-3929 Fax: 708-406-3935
Brandy J Hatcher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 S Maple Ave Ste 5900, Oak Park, IL 60304 Phone: 708-660-5400 Fax: 708-660-5401
Kristin Ann Green, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Madison St Ste 300, Oak Park, IL 60302 Phone: 708-486-2700

Mrs Katlyn Poupore, RN - Medicare Nurse Practitioner in Oak Park, IL