Annabelle Dayola-ledford, APN is a medicare enrolled "Nurse Practitioner" in Knoxville, Illinois. Her current practice location is
415 E Main St, Knoxville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 349-3175.
Annabelle Dayola-ledford is licensed to practice in Illinois (license number 209013321) 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 1710343314.
Provider's Profile
Full Name | Annabelle Dayola-ledford |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 415 E Main St, Knoxville, 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: 1710343314
- Provider Enumeration Date: 01/12/2016
- Last Update Date: 04/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 3577813989
- Enrollment ID: I20180906000019
Medical Identifiers
Medical identifiers for Annabelle Dayola-ledford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710343314 | NPI | - | NPPES |
309009112 | Other | IL | APN CONTROL SUBSTANCE |
041292828 | Other | IL | REGISTERED PROFESSIONAL NURSE |
2090133221 | Other | IL | APN LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SA2200X | Clinical Nurse Specialist - Adult Health | 209013321 (Illinois) | Secondary |
364SA2200X | Clinical Nurse Specialist - Adult Health | 277000014 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209013321 (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. Annabelle Dayola-ledford allows following entities to bill medicare on her behalf.
Entity Name | House Call Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417433574 PECOS PAC ID: 0042559502 Enrollment ID: O20190227001123 |
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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. Annabelle Dayola-ledford 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 |
Annabelle Dayola-ledford, APN 8303 Hopedale Rd, Hopedale, IL 61747-9672 Ph: (309) 363-1047 | Annabelle Dayola-ledford, APN 415 E Main St, Knoxville, IL 61448-1330 Ph: (309) 349-3175 |
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