Stacey Elaine Oddera, APRN - Medicare Nurse Practitioner in Anna, IL

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Stacey Elaine Oddera, APRN is a medicare enrolled "Nurse Practitioner" in Anna, Illinois. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Illinois Medical Services Nfp and her current practice location is 98 Peach Ridge Rd, Anna, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 614-1400.

Stacey Elaine Oddera is licensed to practice in Illinois (license number 209022361) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558964080.

Contact Information

Stacey Elaine Oddera, APRN
98 Peach Ridge Rd,
Anna, IL 62906-2243
(618) 614-1400
(618) 614-1401

Map and Direction




Provider's Profile

Full NameStacey Elaine Oddera
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location98 Peach Ridge Rd, Anna, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacey Elaine Oddera graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1558964080
  • Provider Enumeration Date: 11/18/2020
  • Last Update Date: 10/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082006804
  • Enrollment ID: I20220127001898

Medical Identifiers

Medical identifiers for Stacey Elaine Oddera such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558964080NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209022361 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital Of CarbondaleCarbondale, ILHospital
Southern Illinois Hospital Services Dba Herrin HospitalHerrin, ILHospital
Anna Hospital Corporation D/b/a Union County HospitalAnna, ILHospital
Harrisburg Medical CenterHarrisburg, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Illinois Medical Services Nfp3678677390252

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. Stacey Elaine Oddera allows following entities to bill medicare on her behalf.
Entity NameSouthern Illinois Medical Services Nfp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770656837
PECOS PAC ID: 3678677390
Enrollment ID: O20070404000595

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. Stacey Elaine Oddera 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 AddressPractice Location Address
Stacey Elaine Oddera, APRN
Po Box 3988,
Carbondale, IL 62902-3988

Ph: (618) 457-5200		Stacey Elaine Oddera, APRN
98 Peach Ridge Rd,
Anna, IL 62906-2243

Ph: (618) 614-1400

Reviews and Comments


Nurse Practitioner Nurses in Anna, IL

Mrs. Cassy A Coleman,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 517 N Main St, Anna, IL 62906
Phone: 618-833-4511    
Ms. Heather Dawn Davis, APRN,FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Main St, Anna, IL 62906
Phone: 618-833-5161    Fax: 618-833-9034
Keith Samuel Bass, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 513 N Main St, Anna, IL 62906
Phone: 618-833-4471    
Jessica Elizabeth Wills, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 513 N Main St, Anna, IL 62906
Phone: 618-833-4471    Fax: 618-833-6267
Ms. Erica Vining, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 513 N Main St, Anna, IL 62906
Phone: 618-833-4471    
Rebecca L Pind, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 517 N Main St, Anna, IL 62906
Phone: 618-833-2295    Fax: 618-833-9058
Krysten Ann Green, MSN,APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 800 N Main St, Anna, IL 62906
Phone: 618-833-4456    Fax: 618-833-2371

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.