Nicole Gorris, in Mattoon, IL - Medicare Nurse Anesthetist, Certified Registered

Nicole Gorris, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mattoon, Illinois. Her current practice location is 1000 Health Center Dr, Mattoon, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 258-2440.

Nicole Gorris is licensed to practice in Illinois (license number 209027752) 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 1346926003.

Contact Information

	Nicole Gorris,
	1000 Health Center Dr, Mattoon, IL 61938-4644
	(217) 258-2440
	(217) 258-2186

Map and Direction

Provider's Profile

Full Name	Nicole Gorris
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1000 Health Center Dr, Mattoon, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346926003
Provider Enumeration Date: 06/26/2023
Last Update Date: 09/17/2023

Medicare PECOS Information:

PECOS PAC ID: 6709230345
Enrollment ID: I20230929002254

Medical Identifiers

Medical identifiers for Nicole Gorris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346926003	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209027752 (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. Nicole Gorris allows following entities to bill medicare on her behalf.

Entity Name	Sarah Bush Lincoln Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478

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 Gorris 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 Gorris, Po Box 372, Mattoon, IL 61938-0372 Ph: (217) 868-2812	Nicole Gorris, 1000 Health Center Dr, Mattoon, IL 61938-4644 Ph: (217) 258-2440

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Mattoon, IL

Vincent P Cagungun, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-4006
Erin M. Hein, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2440 Fax: 217-258-2186
Tara L Crews, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2440
Allyson Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2525
Nicholas Halford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2440 Fax: 217-258-2186
Ms. Mallory Michelle Light, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2440 Fax: 217-258-2186
Marshall Ashby, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2440

Nicole Gorris, - Medicare Nurse Anesthetist, Certified Registered in Mattoon, IL