Ms Stephanie Marie Wedlake, APN in Chicago, IL

Ms Stephanie Marie Wedlake, APN is a medicare enrolled "Nurse Practitioner" in Chicago, 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 Northwestern Medical Faculty Foundation, Alexian Brothers Medical Care Group Nfp and her current practice location is 675 N Saint Clair St Ste 19-100, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 664-3278.

Ms Stephanie Marie Wedlake is licensed to practice in Illinois (license number 209022009) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1659973097.

Contact Information

	Ms Stephanie Marie Wedlake, APN
	675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969
	(312) 664-3278
	(312) 695-5774

Map and Direction

Provider's Profile

Full Name	Ms Stephanie Marie Wedlake
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	675 N Saint Clair St Ste 19-100, Chicago, Illinois
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Stephanie Marie Wedlake graduated from nursing school in 2020

NPI Data:

NPI Number: 1659973097
Provider Enumeration Date: 11/11/2020
Last Update Date: 03/22/2021

Medicare PECOS Information:

PECOS PAC ID: 6507270139
Enrollment ID: I20210122000788

Medical Identifiers

Medical identifiers for Ms Stephanie Marie Wedlake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659973097	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	209022009 (Illinois)	Secondary
363L00000X	Nurse Practitioner	209022009 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northwestern Memorial Hospital	Chicago, IL	Hospital
Alexian Brothers Medical Center 1	Elk grove village, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwestern Medical Faculty Foundation	4587576814	3352
Alexian Brothers Medical Care Group Nfp	6002134624	43

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. Ms Stephanie Marie Wedlake allows following entities to bill medicare on her behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

Entity Name	Alexian Brothers Medical Care Group Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518420413 PECOS PAC ID: 6002134624 Enrollment ID: O20150410002237

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. Ms Stephanie Marie Wedlake 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
Ms Stephanie Marie Wedlake, APN 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 Ph: (312) 664-3278	Ms Stephanie Marie Wedlake, APN 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 Ph: (312) 664-3278

Reviews and Comments

Nurse Practitioner Nurses in Chicago, IL

Mr. Gerald M. Bedore, APN/CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 S Wolcott Ave Rm E-144, Chicago, IL 60612 Phone: 312-996-7420 Fax: 312-413-8485
Stacy Ervin, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 N Michigan Ave, Chicago, IL 60611 Phone: 866-825-3227
Angela Obondo Peterson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Fl 17, Chicago, IL 60611 Phone: 312-926-6000 Fax: 312-926-0516
Katherine Cappitelli, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St Ste 2125, Chicago, IL 60611 Phone: 312-472-4218
Juliet Ibanez Panambo Kantoff, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Michigan Ave Ste 1200, Chicago, IL 60611 Phone: 312-635-0973
Catherine L Chung, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2142 S Archer Ave, Chicago, IL 60616 Phone: 312-326-1408
Tricia Muir, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 850 W Irving Park Rd, Chicago, IL 60613 Phone: 773-525-6780

Ms Stephanie Marie Wedlake, APN - Medicare Nurse Practitioner in Chicago, IL