Pamela Komaniecki, APRN, PMHNP-BC in Dekalb, IL

Pamela Komaniecki, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Dekalb, Illinois. Her current practice location is 12 Health Services Dr, Dekalb, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 756-4875.

Pamela Komaniecki is licensed to practice in Illinois (license number 209.030218) 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 1093427718.

Contact Information

	Pamela Komaniecki, APRN, PMHNP-BC
	12 Health Services Dr, Dekalb, IL 60115-9637
	(815) 756-4875
	(815) 756-2944

Map and Direction

Provider's Profile

Full Name	Pamela Komaniecki
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	12 Health Services Dr, Dekalb, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093427718
Provider Enumeration Date: 12/14/2022
Last Update Date: 09/13/2024

Medicare PECOS Information:

PECOS PAC ID: 6608301403
Enrollment ID: I20241202003289

Medical Identifiers

Medical identifiers for Pamela Komaniecki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093427718	NPI	-	NPPES
474579189001	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC1500X	Registered Nurse - Community Health	049.1467133 (Illinois)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	209.030218 (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. Pamela Komaniecki allows following entities to bill medicare on her behalf.

Entity Name	Dekalb Behavioral Health Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255703450 PECOS PAC ID: 9436451655 Enrollment ID: O20160111000872

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. Pamela Komaniecki 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
Pamela Komaniecki, APRN, PMHNP-BC Po Box 1109, Dekalb, IL 60115-7109 Ph: (815) 756-4875	Pamela Komaniecki, APRN, PMHNP-BC 12 Health Services Dr, Dekalb, IL 60115-9637 Ph: (815) 756-4875

Reviews and Comments

Nurse Practitioner Nurses in Dekalb, IL

Hillary J Taylor, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-501-1142
Kris Mc Clure, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 518 Lucinda Ave, University Health Services, Niu, Dekalb, IL 60115 Phone: 815-753-1311 Fax: 815-753-9599
Carrie A Feid, APN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Health Services Dr, Dekalb, IL 60115 Phone: 815-756-5255 Fax: 815-756-9944
Cassandra Katzenberger, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-748-2972 Fax: 815-748-2978
Laurie A Knoke, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Cari Ct, Dekalb, IL 60115 Phone: 815-758-2976
Lisa Roxworthy, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-766-7334 Fax: 815-766-9768
Alysia A Moret-schmerbach, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Health Services Dr, Dekalb, IL 60115 Phone: 815-756-5255

Pamela Komaniecki, APRN, PMHNP-BC - Medicare Nurse Practitioner in Dekalb, IL