Meaghan E Baumgardner, APRN - Medicare Nurse Practitioner in Belleville, IL

Meaghan E Baumgardner, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Belleville, Illinois. Her current practice location is 4500 Memorial Dr, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 257-6220.

Meaghan E Baumgardner is licensed to practice in Illinois (license number 209026022) 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 1760020531.

Contact Information

Meaghan E Baumgardner, APRN
4500 Memorial Dr,
Belleville, IL 62226-5360
(618) 257-6220
Not Available

Map and Direction




Provider's Profile

Full NameMeaghan E Baumgardner
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location4500 Memorial Dr, Belleville, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760020531
  • Provider Enumeration Date: 12/12/2019
  • Last Update Date: 11/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7810304631
  • Enrollment ID: I20210323002082

Medical Identifiers

Medical identifiers for Meaghan E Baumgardner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760020531NPI-NPPES
300048348MedicaidIN
K373410OtherKYMEDICARE
3014128OtherKYKENTUCKY LICENSE
7100728040MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 3014128 (Kentucky)Secondary
363LC0200XNurse Practitioner - Critical Care Medicine 3014128 (Kentucky)Secondary
363LA2100XNurse Practitioner - Acute Care 209026022 (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. Meaghan E Baumgardner allows following entities to bill medicare on her behalf.
Entity NameCommunity Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588614994
PECOS PAC ID: 7012811284
Enrollment ID: O20031120000656

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. Meaghan E Baumgardner 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 AddressPractice Location Address
Meaghan E Baumgardner, APRN
4500 Memorial Dr,
Belleville, IL 62226-5360

Ph: (618) 257-6220
Meaghan E Baumgardner, APRN
4500 Memorial Dr,
Belleville, IL 62226-5360

Ph: (618) 257-6220

Reviews and Comments


Nurse Practitioner Nurses in Belleville, IL

Kelsey Beasley,
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Ms. Lauren Nicole Marshall, FNP
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Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-257-5455    Fax: 618-257-4490
Mr. Lito T Rufin, NP
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Phone: 618-257-6220    
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Phone: 618-234-2390    Fax: 618-234-9936
Pamela A O'neal, NP
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Phone: 618-257-2029    Fax: 618-235-5371
Mrs. Deanna L. Rodenberg, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 4550 Memorial Dr, Ste. 340, Belleville, IL 62226
Phone: 618-257-6200    Fax: 618-257-6679
Katherine Ann Combs, FNP
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Practice Location: 4700 Memorial Dr Ste 250, Belleville, IL 62226
Phone: 618-212-6560    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.