Ms Antonia Hernandez, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in New Lenox, Illinois. Her current practice location is
1004 Pawlak Pkwy, New Lenox, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 215-3400.
Ms Antonia Hernandez is licensed to practice in Illinois (license number 209019331) 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 1154527166.
Healthcare Provider's Profile
| Full Name | Ms Antonia Hernandez |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 1004 Pawlak Pkwy, New Lenox, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1154527166
- Provider Enumeration Date: 06/26/2007
- Last Update Date: 02/19/2020
Medicare PECOS Information:
- PECOS PAC ID: 6800229295
- Enrollment ID: I20191125001305
Medical Identifiers
Medical identifiers for Ms Antonia Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154527166 | NPI | - | NPPES |
| 1154527166 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209019331 (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 Antonia Hernandez allows following entities to bill medicare on her behalf.
| Entity Name | Silver Oaks Behavioral, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376020479
PECOS PAC ID: 4183976434
Enrollment ID: O20181107000477 |
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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 Antonia Hernandez 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 Antonia Hernandez, PMHNP-BC
1004 Pawlak Pkwy,
New Lenox, IL 60451-9401
Ph: (815) 215-3300 | Ms Antonia Hernandez, PMHNP-BC
1004 Pawlak Pkwy,
New Lenox, IL 60451-9401
Ph: (815) 215-3400 |
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