Mrs Nina Renee Seplak, APN is a medicare enrolled "Nurse Practitioner - Family" in Seneca, Illinois. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Morris Hospital and her current practice location is
271 N Main St, Seneca, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 357-8511.
Mrs Nina Renee Seplak is licensed to practice in Illinois (license number 2090150480) 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 1497286645.
Provider's Profile
| Full Name | Mrs Nina Renee Seplak |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 271 N Main St, Seneca, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Nina Renee Seplak graduated from nursing school in 2016
NPI Data:
- NPI Number: 1497286645
- Provider Enumeration Date: 03/21/2017
- Last Update Date: 04/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 5193080463
- Enrollment ID: I20200501000133
Medical Identifiers
Medical identifiers for Mrs Nina Renee Seplak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497286645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 2090150480 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Morris Hospital | 1850372459 | 95 |
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 Nina Renee Seplak allows following entities to bill medicare on her behalf.
| Entity Name | Morris Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558466268
PECOS PAC ID: 1850372459
Enrollment ID: O20040528000663 |
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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 Nina Renee Seplak 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 |
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Mrs Nina Renee Seplak, APN
725 School St Ste A,
Morris, IL 60450-1207
Ph: (815) 941-9124 | Mrs Nina Renee Seplak, APN
271 N Main St,
Seneca, IL 61360-9323
Ph: (815) 357-8511 |
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