Mary Kathleen Skafidas, in Moline, IL - Medicare Nurse Practitioner

Mary Kathleen Skafidas, is a medicare enrolled "Nurse Practitioner - Family" in Moline, Illinois. Her current practice location is 550 30th Ave Ste 12, Moline, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 762-5513.

Mary Kathleen Skafidas is licensed to practice in Illinois (license number 209025069) 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 1003558214.

Contact Information

	Mary Kathleen Skafidas,
	550 30th Ave Ste 12, Moline, IL 61265-5975
	(309) 762-5513
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Kathleen Skafidas
Gender	Female
Speciality	Nurse Practitioner - Family
Location	550 30th Ave Ste 12, Moline, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003558214
Provider Enumeration Date: 04/08/2022
Last Update Date: 05/22/2022

Medicare PECOS Information:

PECOS PAC ID: 7810362563
Enrollment ID: I20230411000612

Medical Identifiers

Medical identifiers for Mary Kathleen Skafidas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003558214	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209025069 (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. Mary Kathleen Skafidas allows following entities to bill medicare on her behalf.

Entity Name	Thomas D Ade Md Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912612771 PECOS PAC ID: 2860867959 Enrollment ID: O20230403000984

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. Mary Kathleen Skafidas 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
Mary Kathleen Skafidas, 550 30th Ave Ste 12, Moline, IL 61265-5975 Ph: (309) 235-0743	Mary Kathleen Skafidas, 550 30th Ave Ste 12, Moline, IL 61265-5975 Ph: (309) 762-5513

Reviews and Comments

Nurse Practitioner Nurses in Moline, IL

Cara R Brown, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 36th Ave, Moline, IL 61265 Phone: 309-743-6700
Courtney Beth Legendre, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 545 Valley View Drive, Moline, IL 61265 Phone: 309-762-5560 Fax: 309-762-7351
Cari Waterkotte, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 545 Valley View Dr, Moline, IL 61265 Phone: 309-762-5560 Fax: 309-277-1191
Emily Schadt, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4376 7th St, Moline, IL 61265 Phone: 309-762-0777 Fax: 309-762-0077
Kristen Olin, DNP-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 7th St, Moline, IL 61265 Phone: 563-762-9800
Mrs. Megan Elizabeth Pikuza, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 John Deere Rd Ste 102, Moline, IL 61265 Phone: 309-779-4940

Mary Kathleen Skafidas, - Medicare Nurse Practitioner in Moline, IL