Stephanie Mora Hernandez, in Chicago, IL - Medicare Nurse Practitioner

Stephanie Mora Hernandez, is a medicare enrolled "Nurse Practitioner - Primary Care" in Chicago, Illinois. She went to Yale University School Of Medicine and graduated in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Erie Family Health Center Inc and her current practice location is 1701 W Superior St, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 666-3494.

Stephanie Mora Hernandez is licensed to practice in Illinois (license number 209023388) 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 1104494665.

Contact Information

	Stephanie Mora Hernandez,
	1701 W Superior St, Chicago, IL 60622-5646
	(312) 666-3494
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephanie Mora Hernandez
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1701 W Superior St, Chicago, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stephanie Mora Hernandez attended and graduated from Yale University School Of Medicine in 2021

NPI Data:

NPI Number: 1104494665
Provider Enumeration Date: 06/11/2021
Last Update Date: 08/10/2021

Medicare PECOS Information:

PECOS PAC ID: 2062890353
Enrollment ID: I20220526002567

Medical Identifiers

Medical identifiers for Stephanie Mora Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104494665	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	209. (Illinois)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	209023388 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northwestern Memorial Hospital	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Erie Family Health Center Inc	9537050422	127

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. Stephanie Mora Hernandez allows following entities to bill medicare on her behalf.

Entity Name	Erie Family Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689

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. Stephanie Mora Hernandez 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
Stephanie Mora Hernandez, 1701 W Superior St, Chicago, IL 60622-5646 Ph: (312) 666-3494	Stephanie Mora Hernandez, 1701 W Superior St, Chicago, IL 60622-5646 Ph: (312) 666-3494

Reviews and Comments

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Mr. Gerald M. Bedore, APN/CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 S Wolcott Ave Rm E-144, Chicago, IL 60612 Phone: 312-996-7420 Fax: 312-413-8485
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Katherine Cappitelli, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St Ste 2125, Chicago, IL 60611 Phone: 312-472-4218
Juliet Ibanez Panambo Kantoff, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Michigan Ave Ste 1200, Chicago, IL 60611 Phone: 312-635-0973
Catherine L Chung, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2142 S Archer Ave, Chicago, IL 60616 Phone: 312-326-1408
Tricia Muir, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 850 W Irving Park Rd, Chicago, IL 60613 Phone: 773-525-6780

Stephanie Mora Hernandez, - Medicare Nurse Practitioner in Chicago, IL