Nichelle M Bush, APRN FNP CEN - Medicare Nurse Practitioner in Blue Island, IL

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Nichelle M Bush, APRN FNP CEN is a medicare enrolled "Nurse Practitioner" in Blue Island, Illinois. Her current practice location is 12935 Gregory St, Blue Island, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 597-2000.

Nichelle M Bush is licensed to practice in Illinois (license number 209012827) 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 1447647110.

Contact Information

Nichelle M Bush, APRN FNP CEN
12935 Gregory St,
Blue Island, IL 60406-2428
(708) 597-2000
Not Available

Map and Direction




Provider's Profile

Full NameNichelle M Bush
GenderFemale
SpecialityNurse Practitioner
Location12935 Gregory St, Blue Island, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447647110
  • Provider Enumeration Date: 04/21/2015
  • Last Update Date: 10/06/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2365762291
  • Enrollment ID: I20150518000580

Medical Identifiers

Medical identifiers for Nichelle M Bush such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447647110NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency 2817956A (Indiana)Secondary
363LA2100XNurse Practitioner - Acute Care 71005467A (Indiana)Secondary
363LA2100XNurse Practitioner - Acute Care 209012827 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209012827 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 71005467A (Indiana)Secondary
363L00000XNurse Practitioner 209012827 (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. Nichelle M Bush allows following entities to bill medicare on her behalf.
Entity NameNwi Urgent Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043596703
PECOS PAC ID: 7618142977
Enrollment ID: O20111214000990
Entity NameApp Of Indiana Ed, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740822212
PECOS PAC ID: 2961835400
Enrollment ID: O20191213001639
Entity NameCalumet Quick Care Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861150419
PECOS PAC ID: 9436526258
Enrollment ID: O20221108002965

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. Nichelle M Bush 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 AddressPractice Location Address
Nichelle M Bush, APRN FNP CEN
19621 Oakwood Ave,
Lynwood, IL 60411-6334

Ph: () -		Nichelle M Bush, APRN FNP CEN
12935 Gregory St,
Blue Island, IL 60406-2428

Ph: (708) 597-2000

Reviews and Comments


Nurse Practitioner Nurses in Blue Island, IL

Julie Elizabeth Di Novo, FNP
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Stefanie A Drozd, APN
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Jennifer R. Komada, NP-C
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Maricsa Sanchez,
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Practice Location: 12757 Western Ave, Blue Island, IL 60406
Phone: 708-293-8437    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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