Sandy Northcutt, in Peoria, IL - Medicare Nurse Practitioner

Sandy Northcutt, is a medicare enrolled "Nurse Practitioner - Family" in Peoria, Illinois. Her current practice location is 124 Sw Adams St, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (888) 209-3761.

Sandy Northcutt is licensed to practice in Illinois (license number 209.028107) 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 1174209704.

Contact Information

	Sandy Northcutt,
	124 Sw Adams St, Peoria, IL 61602-1308
	(888) 209-3761
	Not Available

Map and Direction

Provider's Profile

Full Name	Sandy Northcutt
Gender	Female
Speciality	Nurse Practitioner - Family
Location	124 Sw Adams St, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174209704
Provider Enumeration Date: 06/27/2023
Last Update Date: 09/22/2023

Medicare PECOS Information:

PECOS PAC ID: 8224491410
Enrollment ID: I20230906001760

Medical Identifiers

Medical identifiers for Sandy Northcutt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174209704	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WM0705X	Registered Nurse - Medical-surgical	041.310284 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	209.028107 (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. Sandy Northcutt allows following entities to bill medicare on her behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Sandy Northcutt 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
Sandy Northcutt, 252 N 45th Rd, Mendota, IL 61342-9427 Ph: (815) 303-2072	Sandy Northcutt, 124 Sw Adams St, Peoria, IL 61602-1308 Ph: (888) 209-3761

Reviews and Comments

Nurse Practitioner Nurses in Peoria, IL

Mr. Ryan Eugene Parnham, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Suite 108, Peoria, IL 61537 Phone: 309-624-8818
Faye Yetton, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2015 W Austin Dr, Peoria, IL 61614 Phone: 309-256-0632
Linda Schmidgall, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 Ne Glen Oak Ave, Suite 200, Peoria, IL 61603 Phone: 309-624-5100 Fax: 309-624-5569
Sandra L. Peach, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Ne Glen Oak Ave, Peoria, IL 61603 Phone: 309-655-2343 Fax: 309-655-3948
Roxanne Mclaughlin, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3000 Fax: 309-243-3274
Suzanne D Tietjen, BSN, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2974
Brittany N Hemmele, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8600 N State Route 91, Peoria, IL 61615 Phone: 309-683-5050 Fax: 309-683-5335

Sandy Northcutt, - Medicare Nurse Practitioner in Peoria, IL