Patricia J Nordman, NP is a medicare enrolled "Nurse Practitioner - Family" in Mount Morris, Illinois. Her current practice location is
405 Charles St, University Primary Care Clinic @ Mt Morris, Mount Morris, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 734-6061.
Patricia J Nordman is licensed to practice in Illinois (license number 209001503) 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 1225028350.
Provider's Profile
| Full Name | Patricia J Nordman |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 405 Charles St, Mount Morris, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225028350
- Provider Enumeration Date: 10/28/2005
- Last Update Date: 12/07/2011
Medicare PECOS Information:
- PECOS PAC ID: 4981791753
- Enrollment ID: I20071026000359
Medical Identifiers
Medical identifiers for Patricia J Nordman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225028350 | NPI | - | NPPES |
| 209001503 | Other | IL | IL STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209001503 (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. Patricia J Nordman allows following entities to bill medicare on her behalf.
| Entity Name | The Board Of Trustees Of The University Of Illinois |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158 |
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| Entity Name | Crusaders Central Clinic Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902972557
PECOS PAC ID: 5799682993
Enrollment ID: O20031216000642 |
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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. Patricia J Nordman 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 |
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Patricia J Nordman, NP
1601 Parkview Ave, Credentialing S200,
Rockford, IL 61107-1822
Ph: (815) 734-6061 | Patricia J Nordman, NP
405 Charles St, University Primary Care Clinic @ Mt Morris,
Mount Morris, IL 61054-1646
Ph: (815) 734-6061 |
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