Robert Wirick, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Momence, Illinois. His current practice location is
118 E Ohio St, Momence, Illinois. You can reach out to his office (for appointments etc.) via phone at
(269) 689-8055.
Robert Wirick is licensed to practice in Illinois (license number 209.026886) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710688460.
Provider's Profile
Full Name | Robert Wirick |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 118 E Ohio St, Momence, 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: 1710688460
- Provider Enumeration Date: 03/10/2023
- Last Update Date: 03/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577929199
- Enrollment ID: I20230523002925
Medical Identifiers
Medical identifiers for Robert Wirick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710688460 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209.026886 (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. Robert Wirick allows following entities to bill medicare on his behalf.
Entity Name | Elemental Center Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033410477 PECOS PAC ID: 6305149196 Enrollment ID: O20160128001830 |
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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. Robert Wirick 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 |
Robert Wirick, PMHNP-BC 118 E Ohio St, Momence, IL 60954-1741 Ph: (269) 689-8055 | Robert Wirick, PMHNP-BC 118 E Ohio St, Momence, IL 60954-1741 Ph: (269) 689-8055 |
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