Mrs Peggy Ann Wolpert, CNP is a medicare enrolled "Nurse Practitioner" physician in Danville, Illinois. Her current practice location is
1900 E Main St, Danville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 554-5383.
Mrs Peggy Ann Wolpert is licensed to practice in Indiana (license number 71007712A) 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 1588948996.
Physician's Profile
| Full Name | Mrs Peggy Ann Wolpert |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1900 E Main St, Danville, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588948996
- Provider Enumeration Date: 10/04/2011
- Last Update Date: 05/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 3173802634
- Enrollment ID: I20180116002872
Medical Identifiers
Medical identifiers for Mrs Peggy Ann Wolpert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588948996 | NPI | - | NPPES |
| 300010497 | Medicaid | IN | |
| 71007712A | Other | IN | INDIANA LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 209008961 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 71007712A (Indiana) | 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. Mrs Peggy Ann Wolpert allows following entities to bill medicare on her behalf.
| Entity Name | Parke Clinic Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497760144 PECOS PAC ID: 5991809543 Enrollment ID: O20070409000470 |
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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. Mrs Peggy Ann Wolpert 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 |
Mrs Peggy Ann Wolpert, CNP 1900 E Main St # 11c, Danville, IL 61832-5100 Ph: (217) 554-3000 | Mrs Peggy Ann Wolpert, CNP 1900 E Main St, Danville, IL 61832-5100 Ph: (217) 554-5383 |
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