Courtney Brooke Elliott, RN, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Beardstown, Illinois. Her current practice location is
100 W 15th St, Beardstown, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 323-2245.
Courtney Brooke Elliott is licensed to practice in Illinois (license number 209.012897) 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 1487075305.
Provider's Profile
| Full Name | Courtney Brooke Elliott |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 100 W 15th St, Beardstown, 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: 1487075305
- Provider Enumeration Date: 12/18/2013
- Last Update Date: 06/30/2015
Medicare PECOS Information:
- PECOS PAC ID: 4981070638
- Enrollment ID: I20221020001102
Medical Identifiers
Medical identifiers for Courtney Brooke Elliott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487075305 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0200X | Nurse Practitioner - Pediatrics | 18596 (Tennessee) | Secondary |
| 163WP0200X | Registered Nurse - Pediatrics | 199590 (Tennessee) | Secondary |
| 163WP0200X | Registered Nurse - Pediatrics | 041.430842 (Illinois) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 209.012897 (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. Courtney Brooke Elliott allows following entities to bill medicare on her behalf.
| Entity Name | Schuyler County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013969112 PECOS PAC ID: 9638076474 Enrollment ID: O20031218000430 |
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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. Courtney Brooke Elliott 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 |
Courtney Brooke Elliott, RN, CPNP 100 W 15th St, Beardstown, IL 62618-1774 Ph: (217) 323-2245 | Courtney Brooke Elliott, RN, CPNP 100 W 15th St, Beardstown, IL 62618-1774 Ph: (217) 323-2245 |
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