Phyllis R Wear, NP is a medicare enrolled "Nurse Practitioner - Family" in Bowen, Illinois. Her current practice location is
209 E 5th St, Bowen, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 842-5211.
Phyllis R Wear is licensed to practice in Illinois (license number 209017492) 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 1609363266.
Provider's Profile
| Full Name | Phyllis R Wear |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 209 E 5th St, Bowen, 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: 1609363266
- Provider Enumeration Date: 04/19/2018
- Last Update Date: 04/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 9638428469
- Enrollment ID: I20180827003718
Medical Identifiers
Medical identifiers for Phyllis R Wear such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609363266 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209017492 (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. Phyllis R Wear allows following entities to bill medicare on her behalf.
| Entity Name | Memorial Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730139031
PECOS PAC ID: 0244134682
Enrollment ID: O20031126000246 |
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| Entity Name | Memorial Hospital Association |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1730139031
PECOS PAC ID: 0244134682
Enrollment ID: O20140626000252 |
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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. Phyllis R Wear 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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Phyllis R Wear, NP
Po Box 160,
Carthage, IL 62321-0160
Ph: (217) 357-6512 | Phyllis R Wear, NP
209 E 5th St,
Bowen, IL 62316-1130
Ph: (217) 842-5211 |
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