Thomas W Hefner, NP is a medicare enrolled "Nurse Practitioner - Family" in Bonnie, Illinois. His current practice location is
365 W 3rd St, Bonnie, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 967-2666.
Thomas W Hefner is licensed to practice in Illinois (license number 209.018248) 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 1750866620.
Provider's Profile
Full Name | Thomas W Hefner |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 365 W 3rd St, Bonnie, 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: 1750866620
- Provider Enumeration Date: 09/26/2018
- Last Update Date: 09/26/2018
Medicare PECOS Information:
- PECOS PAC ID: 3072842020
- Enrollment ID: I20190917001425
Medical Identifiers
Medical identifiers for Thomas W Hefner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750866620 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209.018248 (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. Thomas W Hefner allows following entities to bill medicare on his behalf.
Entity Name | Illinois-indiana Em-i Medical Services S C |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457503591 PECOS PAC ID: 3678487246 Enrollment ID: O20040326001003 |
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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. Thomas W Hefner 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 |
Thomas W Hefner, NP 365 W 3rd St, Bonnie, IL 62816-1002 Ph: (618) 967-2666 | Thomas W Hefner, NP 365 W 3rd St, Bonnie, IL 62816-1002 Ph: (618) 967-2666 |
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