Brenda Marie Eden, NP is a medicare enrolled "Clinical Nurse Specialist" in Decatur, Illinois. Her current practice location is
1800 E Lake Shore Dr, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 422-6100.
Brenda Marie Eden is licensed to practice in Illinois (license number 209006509) 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 1366676835.
Provider's Profile
| Full Name | Brenda Marie Eden |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Nurse Specialist |
|---|
| Location | 1800 E Lake Shore Dr, Decatur, Illinois |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1366676835
- Provider Enumeration Date: 05/12/2009
- Last Update Date: 03/12/2013
Medicare PECOS Information:
- PECOS PAC ID: 7911057245
- Enrollment ID: I20090609000174
Medical Identifiers
Medical identifiers for Brenda Marie Eden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366676835 | NPI | - | NPPES |
| P01054366 | Other | IL | RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364S00000X | Clinical Nurse Specialist | 209006509 (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. Brenda Marie Eden allows following entities to bill medicare on her behalf.
| Entity Name | Prairie Cardiovascular Consultants Ltd |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1982714218
PECOS PAC ID: 3173435880
Enrollment ID: O20031230000311 |
|---|
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. Brenda Marie Eden 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 |
|---|
Brenda Marie Eden, NP
1800 E Lake Shore Dr,
Decatur, IL 62521-3810
Ph: (217) 422-6100 | Brenda Marie Eden, NP
1800 E Lake Shore Dr,
Decatur, IL 62521-3810
Ph: (217) 422-6100 |
Reviews and Comments