Nicole Brandi Pedtke, FNP is a medicare enrolled "Nurse Practitioner - Family" in Ashley, Illinois. Her current practice location is
5680 Indian Trail Rd, Ashley, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 713-3811.
Nicole Brandi Pedtke is licensed to practice in Illinois (license number 209021411) 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 1326664111.
Provider's Profile
Full Name | Nicole Brandi Pedtke |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 5680 Indian Trail Rd, Ashley, 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. |
Medical Education and Training:
- Nicole Brandi Pedtke attended and graduated from in
NPI Data:
- NPI Number: 1326664111
- Provider Enumeration Date: 06/17/2020
- Last Update Date: 06/23/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Nicole Brandi Pedtke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326664111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209021411 (Illinois) | Primary |
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. Nicole Brandi Pedtke 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 |
Nicole Brandi Pedtke, FNP 5680 Indian Trail Rd, Ashley, IL 62808-2527 Ph: (618) 713-3811 | Nicole Brandi Pedtke, FNP 5680 Indian Trail Rd, Ashley, IL 62808-2527 Ph: (618) 713-3811 |
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