Mrs Deidra Diane Anderson, FNP in East Peoria, IL

Mrs Deidra Diane Anderson, FNP is a medicare enrolled "Nurse Practitioner - Family" in East Peoria, Illinois. Her current practice location is 133 Spinder Dr, East Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 308-5100.

Mrs Deidra Diane Anderson is licensed to practice in Illinois (license number 209026249) 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 1083336234.

Contact Information

	Mrs Deidra Diane Anderson, FNP
	133 Spinder Dr, East Peoria, IL 61611-0016
	(309) 308-5100
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Deidra Diane Anderson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	133 Spinder Dr, East Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083336234
Provider Enumeration Date: 09/14/2022
Last Update Date: 10/26/2022

Medicare PECOS Information:

PECOS PAC ID: 4981071784
Enrollment ID: I20221108002448

Medical Identifiers

Medical identifiers for Mrs Deidra Diane Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083336234	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209026249 (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. Mrs Deidra Diane Anderson allows following entities to bill medicare on her behalf.

Entity Name	Graham Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780692087 PECOS PAC ID: 2769375021 Enrollment ID: O20040510000873

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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 Deidra Diane Anderson 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 Deidra Diane Anderson, FNP 896 Banta Rd, Lowpoint, IL 61545-7580 Ph: (309) 208-2935	Mrs Deidra Diane Anderson, FNP 133 Spinder Dr, East Peoria, IL 61611-0016 Ph: (309) 308-5100

Reviews and Comments

Nurse Practitioner Nurses in East Peoria, IL

Mrs. Brandy J Coleman, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100
Kerri Jean Schafer, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100 Fax: 309-308-5102
Kelsey Elizabeth Casolari, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 204 W Washington St, East Peoria, IL 61611 Phone: 309-512-0902
Mary Barbara Husser, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 204 W Washington St, East Peoria, IL 61611 Phone: 309-322-6874
Dustin Brooks, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 127 Stewart St, East Peoria, IL 61611 Phone: 309-678-7422
Liliane Akimpaye, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100

Mrs Deidra Diane Anderson, FNP - Medicare Nurse Practitioner in East Peoria, IL