Mrs Marla Jo Vanvickle, APN in Rockford, IL - Medicare Nurse Practitioner

Mrs Marla Jo Vanvickle, APN is a medicare enrolled "Nurse Practitioner" in Rockford, Illinois. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice In Home Medical Group Llc and her current practice location is 4215 Newburg Rd, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 988-8500.

Mrs Marla Jo Vanvickle is licensed to practice in Illinois (license number 209021926) 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 1730777145.

Contact Information

	Mrs Marla Jo Vanvickle, APN
	4215 Newburg Rd, Rockford, IL 61108-6479
	(815) 988-8500
	(815) 977-5956

Map and Direction

Provider's Profile

Full Name	Mrs Marla Jo Vanvickle
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	4215 Newburg Rd, Rockford, 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 Marla Jo Vanvickle graduated from nursing school in 2020

NPI Data:

NPI Number: 1730777145
Provider Enumeration Date: 01/02/2021
Last Update Date: 04/13/2022

Medicare PECOS Information:

PECOS PAC ID: 1557749421
Enrollment ID: I20220606000302

Medical Identifiers

Medical identifiers for Mrs Marla Jo Vanvickle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730777145	NPI	-	NPPES
0	Other		NO NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209021926 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cgh Medical Center	Sterling, IL	Hospital
Katherine Shaw Bethea Hospital	Dixon, IL	Hospital
Osf Saint Anthony Medical Center	Rockford, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
In Home Medical Group Llc	3779612395	50

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 Marla Jo Vanvickle allows following entities to bill medicare on her behalf.

Entity Name	In Home Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497087175 PECOS PAC ID: 3779612395 Enrollment ID: O20100520000116

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 Marla Jo Vanvickle 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 Marla Jo Vanvickle, APN 4215 Newburg Rd, Rockford, IL 61108-6479 Ph: (815) 988-8500	Mrs Marla Jo Vanvickle, APN 4215 Newburg Rd, Rockford, IL 61108-6479 Ph: (815) 988-8500

Reviews and Comments

Nurse Practitioner Nurses in Rockford, IL

Misty Lynn Dehaven, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107 Phone: 815-395-1500 Fax: 815-395-1415
Candice Vicencio, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4215 Newburg Rd, Rockford, IL 61108 Phone: 815-988-8500 Fax: 815-977-5956
Caryn Ann Ruzic, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881
Tyler James Rafferty, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000
Angela Giardono, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000
Melissa L. Inman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 461 N Mulford Rd Ste 3, Rockford, IL 61107 Phone: 815-227-9594 Fax: 815-227-9574
Michelle L Bennett, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3505 N Bell School Rd, Rockford, IL 61114 Phone: 779-696-0300 Fax: 815-639-9433

Mrs Marla Jo Vanvickle, APN - Medicare Nurse Practitioner in Rockford, IL