Nicole Brandi Pedtke, FNP - Medicare Nurse Practitioner in Ashley, IL

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Nicole Brandi Pedtke, FNP is a medicare enrolled "Nurse Practitioner - Family" in Ashley, 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 St Marys Hospital Centralia Illinois, Physician Services Corporation Of Southern Illinois Inc and 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.

Contact Information

Nicole Brandi Pedtke, FNP
5680 Indian Trail Rd,
Ashley, IL 62808-2527
(618) 713-3811
Not Available

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Provider's Profile

Full NameNicole Brandi Pedtke
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location5680 Indian Trail Rd, Ashley, Illinois
Accepts Medicare AssignmentsYes. 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 graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1326664111
  • Provider Enumeration Date: 06/17/2020
  • Last Update Date: 06/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5799190609
  • Enrollment ID: I20210225003198

Medical Identifiers

Medical identifiers for Nicole Brandi Pedtke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326664111NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209021411 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm Health St Mary's Hospital -centraliaCentralia, ILHospital
Washington County HospitalNashville, ILHospital
Ssm Health - Good Samaritan HospitalMount vernon, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Marys Hospital Centralia Illinois670978892039
Physician Services Corporation Of Southern Illinois Inc9234022567100

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. Nicole Brandi Pedtke allows following entities to bill medicare on her behalf.
Entity NameGood Samaritan Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487758801
PECOS PAC ID: 1658272059
Enrollment ID: O20040119000325
Entity NameSt Marys Hospital Centralia Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770687196
PECOS PAC ID: 6709788920
Enrollment ID: O20040127000118
Entity NamePhysician Services Corporation Of Southern Illinois Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831101807
PECOS PAC ID: 9234022567
Enrollment ID: O20040304000583

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 AddressPractice 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

Reviews and Comments


Nurse Practitioner Nurses in Ashley, IL


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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.