Casey At Dively, NP-C - Medicare Nurse Practitioner in Taylorville, IL

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Casey At Dively, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Taylorville, Illinois. Her current practice location is 1304 Burnett Dr, Taylorville, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 321-9310.

Casey At Dively is licensed to practice in Illinois (license number 209015986041408044) 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 1386171809.

Contact Information

Casey At Dively, NP-C
1304 Burnett Dr,
Taylorville, IL 62568-9519
(217) 321-9310
Not Available

Map and Direction




Provider's Profile

Full NameCasey At Dively
GenderFemale
SpecialityNurse Practitioner - Family
Location1304 Burnett Dr, Taylorville, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386171809
  • Provider Enumeration Date: 05/15/2017
  • Last Update Date: 01/13/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4082984406
  • Enrollment ID: I20170718002412

Medical Identifiers

Medical identifiers for Casey At Dively such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386171809NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209015986041408044 (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. Casey At Dively allows following entities to bill medicare on her behalf.
Entity NameTaylorville Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518170729
PECOS PAC ID: 8022914704
Enrollment ID: O20031211001049
Entity NameMidwest Emergency Department Specialists Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245263367
PECOS PAC ID: 5193627727
Enrollment ID: O20040123000845
Entity NameHshs Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962644807
PECOS PAC ID: 5092857821
Enrollment ID: O20100116000275

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. Casey At Dively 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
Casey At Dively, NP-C
1304 Burnett Dr,
Taylorville, IL 62568-9519

Ph: (217) 321-9310		Casey At Dively, NP-C
1304 Burnett Dr,
Taylorville, IL 62568-9519

Ph: (217) 321-9310

Reviews and Comments


Nurse Practitioner Nurses in Taylorville, IL

Patricia A. Schneider, FNP-BC
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Lori A Bland, NP-C
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Bailee Hinds, APN
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Megan A. Winters, NP
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Phone: 217-528-7541    
Wendy D Dorworth, CFNP
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Practice Location: 1304 Burnett Dr, Taylorville, IL 62568
Phone: 217-321-9310    
Karen M. Manson, FNP-BC
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Practice Location: 600 N Main St, Taylorville, IL 62568
Phone: 217-287-8855    
Wendi L Campbell, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1304 Burnett Dr, Taylorville, IL 62568
Phone: 217-321-9310    Fax: 217-789-1825

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.