Angela Dawn Herndon, APN - Medicare Nurse Practitioner in Breese, IL

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Angela Dawn Herndon, APN is a medicare enrolled "Nurse Practitioner" in Breese, Illinois. Her current practice location is 397 North Plum Street, Breese, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 526-4700.

Angela Dawn Herndon is licensed to practice in Illinois (license number 041328145) 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 1265548986.

Contact Information

Angela Dawn Herndon, APN
397 North Plum Street,
Breese, IL 62230-9998
(618) 526-4700
(618) 566-7121

Map and Direction




Provider's Profile

Full NameAngela Dawn Herndon
GenderFemale
SpecialityNurse Practitioner
Location397 North Plum Street, Breese, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265548986
  • Provider Enumeration Date: 08/23/2006
  • Last Update Date: 09/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5496775678
  • Enrollment ID: I20051202000177

Medical Identifiers

Medical identifiers for Angela Dawn Herndon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265548986NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 041328145 (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. Angela Dawn Herndon allows following entities to bill medicare on her behalf.
Entity NameRural Family Medicine Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366639759
PECOS PAC ID: 2264489038
Enrollment ID: O20050404000800
Entity NameAdvantage Physical Medicine Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568226553
PECOS PAC ID: 3173055506
Enrollment ID: O20241010001039

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. Angela Dawn Herndon 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 AddressPractice Location Address
Angela Dawn Herndon, APN
397 North Plum Street,
Breese, IL 62230-9998

Ph: (618) 526-4700		Angela Dawn Herndon, APN
397 North Plum Street,
Breese, IL 62230-9998

Ph: (618) 526-4700

Reviews and Comments


Nurse Practitioner Nurses in Breese, IL

Emily Rhoades, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230
Phone: 618-526-7271    Fax: 618-526-7313
Kelsey L Mueller, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230
Phone: 618-526-7271    
Ms. Alexis Ann Mcallister, PNP
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Medicare: Medicare Enrolled
Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230
Phone: 618-526-7271    Fax: 618-526-7313
Clare R Arentsen, FNP-BC
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230
Phone: 618-526-7271    
Mrs. Kara Ann Huegen, AGNP-C, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230
Phone: 618-206-2082    
Meghan M Ziegler, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230
Phone: 618-526-7271    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.