Olivia Ann Walder, APRN is a medicare enrolled "Nurse Practitioner - Family" in Onarga, Illinois. Her current practice location is
912 W Seminary Ave, Onarga, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 268-4840.
Olivia Ann Walder is licensed to practice in Illinois (license number 209027194) 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 1407543838.
Provider's Profile
Full Name | Olivia Ann Walder |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 912 W Seminary Ave, Onarga, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407543838
- Provider Enumeration Date: 04/18/2023
- Last Update Date: 02/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406212547
- Enrollment ID: I20230516002668
Medical Identifiers
Medical identifiers for Olivia Ann Walder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407543838 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 041454193 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209027194 (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. Olivia Ann Walder allows following entities to bill medicare on her behalf.
Entity Name | Gibson Community Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20040505001293 |
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Entity Name | Smart Health And Wellness Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558029504 PECOS PAC ID: 6800280702 Enrollment ID: O20220217002668 |
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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. Olivia Ann Walder 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 |
Olivia Ann Walder, APRN 1120 N Melvin St, Gibson City, IL 60936-1477 Ph: (217) 784-4251 | Olivia Ann Walder, APRN 912 W Seminary Ave, Onarga, IL 60955-1401 Ph: (815) 268-4840 |
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