Ms Lenette Baltazar, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Waukegan, Illinois. Her current practice location is
2615 Washington St, Waukegan, Illinois. You can reach out to her office (for appointments etc.) via phone at
(855) 990-1900.
Ms Lenette Baltazar is licensed to practice in Illinois (license number 209025267) 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 1851028245.
Healthcare Provider's Profile
Full Name | Ms Lenette Baltazar |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 2615 Washington St, Waukegan, 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: 1851028245
- Provider Enumeration Date: 08/04/2022
- Last Update Date: 12/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 4587030374
- Enrollment ID: I20221019001769
Medical Identifiers
Medical identifiers for Ms Lenette Baltazar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851028245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209025267 (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. Ms Lenette Baltazar allows following entities to bill medicare on her behalf.
Entity Name | V Covington, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134634116 PECOS PAC ID: 7315209988 Enrollment ID: O20180328000814 |
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Entity Name | Top Medical Consultants Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194497941 PECOS PAC ID: 8426449950 Enrollment ID: O20211217000020 |
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Entity Name | Illinois Center For Neurological And Behavioral Medicine Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649824459 PECOS PAC ID: 5698131670 Enrollment ID: O20230517001394 |
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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. Ms Lenette Baltazar 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 |
Ms Lenette Baltazar, PMHNP 1147 Sawmill Ln, Algonquin, IL 60102-5967 Ph: (708) 769-2759 | Ms Lenette Baltazar, PMHNP 2615 Washington St, Waukegan, IL 60085-4980 Ph: (855) 990-1900 |
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