Amanda Marie Wilderman, in Carbondale, IL - Medicare Nurse Practitioner

Amanda Marie Wilderman, is a medicare enrolled "Family Medicine - Adult Medicine" physician in Carbondale, Illinois. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Illinois Gi Specialists Llc and her current practice location is 1100 W Diann Ln, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 549-8006.

Amanda Marie Wilderman is licensed to practice in Illinois (license number 209.020318) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659915171.

Contact Information

	Amanda Marie Wilderman,
	1100 W Diann Ln, Carbondale, IL 62901-5339
	(618) 549-8006
	(618) 549-8434

Map and Direction

Physician's Profile

Full Name	Amanda Marie Wilderman
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1100 W Diann Ln, Carbondale, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amanda Marie Wilderman graduated from medical school in 2019

NPI Data:

NPI Number: 1659915171
Provider Enumeration Date: 10/29/2019
Last Update Date: 03/24/2023

Medicare PECOS Information:

PECOS PAC ID: 2668896390
Enrollment ID: I20200728000888

Medical Identifiers

Medical identifiers for Amanda Marie Wilderman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659915171	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QA0505X	Family Medicine - Adult Medicine	209.020318 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southern Illinois Hospital Services Dba Herrin Hospital	Herrin, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Illinois Gi Specialists Llc	1658337456	3

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. Amanda Marie Wilderman allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Gi Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093775405 PECOS PAC ID: 1658337456 Enrollment ID: O20041203000280

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. Amanda Marie Wilderman 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
Amanda Marie Wilderman, 1268 Cole Place Rd, Chester, IL 62233-2054 Ph: (618) 210-7478	Amanda Marie Wilderman, 1100 W Diann Ln, Carbondale, IL 62901-5339 Ph: (618) 549-8006

Reviews and Comments

Family Medicine Doctors in Carbondale, IL

Ashmeet Singh Sahni, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 W Oak St Ste 200, Carbondale, IL 62901 Phone: 618-536-6621
Sandhya Rani Grandhi, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-457-4542
Brian Jay Reach, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 217-545-8000
Scott K Schonewolf, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St, Suite 200, Carbondale, IL 62901 Phone: 618-453-3777 Fax: 618-453-1102
Artemus Holguin-mills, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-536-6621
Precious Charisse Gahol, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-536-0221
Wendy Thein Myint, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-536-6621

Amanda Marie Wilderman, - Medicare Nurse Practitioner in Carbondale, IL