Beyer Functional Wellness is a medicare enrolled "Clinic/center - Medical Specialty" provider in Mokena, Illinois. Their current practice location is
10012 W 190th Pl Bldg A, Mokena, Illinois. You can reach out to their office (for appointments etc.) via phone at
(708) 478-0690.
Beyer Functional Wellness is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Beyer Functional Wellness
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1073757811.
Healthcare Provider's Profile
| Full Name | Beyer Functional Wellness |
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| Type | Facility |
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| Speciality | Clinic/center - Medical Specialty |
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| Location | 10012 W 190th Pl Bldg A, Mokena, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073757811
- Provider Enumeration Date: 04/23/2009
- Last Update Date: 09/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 4385798628
- Enrollment ID: O20090820000442
Medical Identifiers
Medical identifiers for Beyer Functional Wellness such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073757811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 038-007483 (Illinois) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Beyer Functional Wellness acts as a billing entity for following providers:
| Provider Name | Stephen R Beyer |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1922293968
PECOS PAC ID: 3375576499
Enrollment ID: I20090820000430 |
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| Provider Name | Jennifer N Van Kempen |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1487140380
PECOS PAC ID: 8729332424
Enrollment ID: I20181115002397 |
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| Provider Name | Kelli L Harkey |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1396283495
PECOS PAC ID: 1658640727
Enrollment ID: I20200331001402 |
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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. Beyer Functional Wellness 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 |
|---|
Beyer Functional Wellness
10012 W 190th Pl,
Mokena, IL 60448-8752
Ph: (708) 478-0690 | Beyer Functional Wellness
10012 W 190th Pl Bldg A,
Mokena, IL 60448-8752
Ph: (708) 478-0690 |
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