Elizabeth Nietert, MD in Springfield, IL

Elizabeth Nietert, MD is a medicare enrolled "Dermatology" physician in Springfield, Illinois. She went to Medical College Of Wisconsin and graduated in 2006 and has 19 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Forefront Dermatology Sc, Siu Physicians And Surgeons Inc and her current practice location is 751 N Rutledge St, Suite 2300, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 545-3821.

Elizabeth Nietert is licensed to practice in Illinois (license number 036-130434) 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 1619199072.

Contact Information

	Elizabeth Nietert, MD
	751 N Rutledge St, Suite 2300, Springfield, IL 62702-4968
	(217) 545-3821
	(217) 545-4485

Map and Direction

Physician's Profile

Full Name	Elizabeth Nietert
Gender	Female
Speciality	Dermatology
Experience	19 Years
Location	751 N Rutledge St, Springfield, 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:

Elizabeth Nietert attended and graduated from Medical College Of Wisconsin in 2006

NPI Data:

NPI Number: 1619199072
Provider Enumeration Date: 05/03/2007
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 4880888056
Enrollment ID: I20101101001543

Medical Identifiers

Medical identifiers for Elizabeth Nietert such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619199072	NPI	-	NPPES
036130434	Medicaid	IL
1619199072	Medicaid	WI
171400024	Other	WI	MEDICARE
54439-020	Other	WI	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	54439-020 (Wisconsin)	Secondary
207N00000X	Dermatology	036-130434 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Medical Center	Springfield, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Forefront Dermatology Sc	3779471701	568
Siu Physicians And Surgeons Inc	2365352820	290

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. Elizabeth Nietert allows following entities to bill medicare on her behalf.

Entity Name	Forefront Dermatology Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083768253 PECOS PAC ID: 3779471701 Enrollment ID: O20040310000252

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. Elizabeth Nietert 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
Elizabeth Nietert, MD Po Box 19644, Springfield, IL 62794-9644 Ph: (217) 545-8000	Elizabeth Nietert, MD 751 N Rutledge St, Suite 2300, Springfield, IL 62702-4968 Ph: (217) 545-3821

Reviews and Comments

Dermatology Doctors in Springfield, IL

Mrs. Lucinda S Buescher, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Springfield, IL 62702 Phone: 217-545-3821 Fax: 217-545-4485
Kortni Michell Kemper, MD Dermatology Medicare: Medicare Enrolled Practice Location: 751 N Rutledge St Ste 2300, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7438
Elizabeth A Small, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541
Dr. Adarsh A Kumar, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2040 Timberbrooke Drive, Springfield, IL 62702 Phone: 217-787-2511 Fax: 217-787-2513
Rebecca J Larson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Suite 2300, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-4485
Dr. Brittany Sweet, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1100 Centre West Dr, Springfield, IL 62704 Phone: 217-528-7541
Elle Murray Davis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541

Elizabeth Nietert, MD - Medicare Dermatology in Springfield, IL