Carli Ann Light, APRN, CNP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Roanoke, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Board Of Trustees Of The University Of Illinois and her current practice location is
401 N Main St, Roanoke, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 923-2661.
Carli Ann Light is licensed to practice in Illinois (license number 209028999) 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 1508622275.
Physician's Profile
| Full Name | Carli Ann Light |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 401 N Main St, Roanoke, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carli Ann Light attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2022
NPI Data:
- NPI Number: 1508622275
- Provider Enumeration Date: 02/21/2024
- Last Update Date: 10/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486196359
- Enrollment ID: I20240606002272
Medical Identifiers
Medical identifiers for Carli Ann Light such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508622275 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 209.028999 (Illinois) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 209028999 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The Board Of Trustees Of The University Of Illinois | 3072422716 | 1134 |
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. Carli Ann Light allows following entities to bill medicare on her behalf.
| Entity Name | The Board of Trustees of the University of Illinois |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158 |
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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. Carli Ann Light 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 |
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Carli Ann Light, APRN, CNP
401 N Main St,
Roanoke, IL 61561-7585
Ph: (309) 923-2661 | Carli Ann Light, APRN, CNP
401 N Main St,
Roanoke, IL 61561-7585
Ph: (309) 923-2661 |
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