Mrs Marissa Anne Ontis, FNP-C in Jerseyville, IL

Mrs Marissa Anne Ontis, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Jerseyville, Illinois. Her current practice location is 400 Maple Summit Rd Ste 200, Jerseyville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 498-8011.

Mrs Marissa Anne Ontis is licensed to practice in Illinois (license number 209025582) 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 1629704929.

Contact Information

	Mrs Marissa Anne Ontis, FNP-C
	400 Maple Summit Rd Ste 200, Jerseyville, IL 62052-2028
	(618) 498-8011
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Marissa Anne Ontis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	400 Maple Summit Rd Ste 200, Jerseyville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629704929
Provider Enumeration Date: 07/28/2022
Last Update Date: 09/16/2024

Medicare PECOS Information:

PECOS PAC ID: 0446636955
Enrollment ID: I20221007000155

Medical Identifiers

Medical identifiers for Mrs Marissa Anne Ontis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629704929	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209025582 (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 Marissa Anne Ontis allows following entities to bill medicare on her behalf.

Entity Name	Jersey Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780609925 PECOS PAC ID: 4587650445 Enrollment ID: O20040424000140

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 Marissa Anne Ontis 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 Marissa Anne Ontis, FNP-C 709 N Main St, Brighton, IL 62012-1045 Ph: (618) 623-2836	Mrs Marissa Anne Ontis, FNP-C 400 Maple Summit Rd Ste 200, Jerseyville, IL 62052-2028 Ph: (618) 498-8011

Reviews and Comments

Nurse Practitioner Nurses in Jerseyville, IL

Melissa G Kulp, MS, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 E County Rd, E Annex, Jerseyville, IL 62052 Phone: 618-498-8467 Fax: 618-639-2017
Ms. Ellen Edith Mouser, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 270 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-639-9952 Fax: 618-639-9955
Mrs. Deborah Marie Seymour, APN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-2101 Fax: 618-498-8153
Tammie L Blevins, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 E County Rd, Jerseyville, IL 62052 Phone: 618-498-8467 Fax: 618-639-2017
Alexandra Irene Evans, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-2101 Fax: 618-498-8153
Amber N. Wright, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 220 E County Rd, East Annex, Jerseyville, IL 62052 Phone: 618-498-8467 Fax: 618-639-2017
Ms. Beth Ann Dalrymple-woods, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-8472 Fax: 618-498-8461

Mrs Marissa Anne Ontis, FNP-C - Medicare Nurse Practitioner in Jerseyville, IL