Mrs Kelly Ann Dewolfe, APN in La Grange, IL - Medicare Nurse Practitioner

Mrs Kelly Ann Dewolfe, APN is a medicare enrolled "Nurse Practitioner" in La Grange, Illinois. Her current practice location is 47 6th Ave, La Grange, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 783-6900.

Mrs Kelly Ann Dewolfe is licensed to practice in Illinois (license number 209006192) 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 1265525760.

Contact Information

	Mrs Kelly Ann Dewolfe, APN
	47 6th Ave, La Grange, IL 60525-2499
	(708) 783-6900
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Ann Dewolfe
Gender	Female
Speciality	Nurse Practitioner
Location	47 6th Ave, La Grange, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265525760
Provider Enumeration Date: 10/02/2006
Last Update Date: 06/04/2015

Medicare PECOS Information:

PECOS PAC ID: 7416012224
Enrollment ID: I20090211000363

Medical Identifiers

Medical identifiers for Mrs Kelly Ann Dewolfe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265525760	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209006192 (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 Kelly Ann Dewolfe allows following entities to bill medicare on her behalf.

Entity Name	Loyola Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063

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 Kelly Ann Dewolfe 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 Kelly Ann Dewolfe, APN 1243 W Melrose St, Chicago, IL 60657-3217 Ph: (414) 467-2056	Mrs Kelly Ann Dewolfe, APN 47 6th Ave, La Grange, IL 60525-2499 Ph: (708) 783-6900

Reviews and Comments

Nurse Practitioner Nurses in La Grange, IL

Diane Nurceski, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5101 Willow Springs Rd, La Grange, IL 60525 Phone: 708-245-4073 Fax: 708-245-5614
Teresa Masterson, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23 W Calendar Ave, La Grange, IL 60525 Phone: 708-352-0081
Donna S Mitchell, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 Calendar Ave, La Grange, IL 60525 Phone: 708-579-2400
Ms. Monica Ann Mcandrews, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 N Spring Ave, La Grange, IL 60525 Phone: 312-942-4500
Yasmin Abdullah, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4727 Willow Springs Rd, La Grange, IL 60525 Phone: 630-858-2930
Hannah Rose Collao, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Dover Ave, La Grange, IL 60525 Phone: 815-768-5317
Lisa M Taylor, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5201 Willow Springs Rd, Ste 290, La Grange, IL 60525 Phone: 708-579-0018

Mrs Kelly Ann Dewolfe, APN - Medicare Nurse Practitioner in La Grange, IL