Stephen Welty, NURSE PRACTITIONER in Fairfield, IL

Stephen Welty, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Acute Care" in Fairfield, Illinois. His current practice location is 213 Nw 10th St Ste A, Fairfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 842-4617.

Stephen Welty is licensed to practice in Illinois (license number 209-024734) 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 1811640105.

Contact Information

	Stephen Welty, NURSE PRACTITIONER
	213 Nw 10th St Ste A, Fairfield, IL 62837-1219
	(618) 842-4617
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephen Welty
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	213 Nw 10th St Ste A, Fairfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811640105
Provider Enumeration Date: 01/27/2022
Last Update Date: 01/27/2022

Medicare PECOS Information:

PECOS PAC ID: 6901290105
Enrollment ID: I20220304001200

Medical Identifiers

Medical identifiers for Stephen Welty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811640105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	209-024734 (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. Stephen Welty allows following entities to bill medicare on his behalf.

Entity Name	Fairfield Memorial Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649442419 PECOS PAC ID: 5698671741 Enrollment ID: O20041124000368

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. Stephen Welty 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
Stephen Welty, NURSE PRACTITIONER 213 Nw 10th St Ste A, Fairfield, IL 62837-1219 Ph: (618) 842-4617	Stephen Welty, NURSE PRACTITIONER 213 Nw 10th St Ste A, Fairfield, IL 62837-1219 Ph: (618) 842-4617

Reviews and Comments

Nurse Practitioner Nurses in Fairfield, IL

Courtney Robertson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 Nw 10th St Ste A, Fairfield, IL 62837 Phone: 618-842-4617
Joann Smith, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 Nw 10th St, Fairfield, IL 62837 Phone: 618-842-4617
Sherry L Mewes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 Nw 10th St Ste A, Fairfield, IL 62837 Phone: 618-842-4617
Dylan Wayne Stennett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 Nw 11th St, Fairfield, IL 62837 Phone: 618-842-4617
Misty D Stone, APN FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 Nw 11th St, Fairfield, IL 62837 Phone: 618-842-4617
Vicki Lynn Wyatt, APN RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 303 Nw 11th St, Fairfield, IL 62837 Phone: 618-842-2611

Stephen Welty, NURSE PRACTITIONER - Medicare Nurse Practitioner in Fairfield, IL