Derek Pechacek, FNP-C - Medicare Nurse Practitioner in O Fallon, IL

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Derek Pechacek, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in O Fallon, Illinois. He graduated from nursing school in 2008 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Midwest Emergency Good Samaritan, Inc, Washington County Hospital District and his current practice location is 320 E Highway 50, O Fallon, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 624-3368.

Derek Pechacek is licensed to practice in Illinois (license number 209-010889) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114356607.

Contact Information

Derek Pechacek, FNP-C
320 E Highway 50,
O Fallon, IL 62269-2704
(618) 624-3368
(618) 624-3387

Map and Direction




Provider's Profile

Full NameDerek Pechacek
GenderMale
SpecialityNurse Practitioner
Experience17 Years
Location320 E Highway 50, O Fallon, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Derek Pechacek graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1114356607
  • Provider Enumeration Date: 11/05/2013
  • Last Update Date: 11/05/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9234366980
  • Enrollment ID: I20131230000978

Medical Identifiers

Medical identifiers for Derek Pechacek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114356607NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209-010889 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Washington County HospitalNashville, ILHospital
Ssm Health - Good Samaritan HospitalMount vernon, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Midwest Emergency Good Samaritan, Inc165852934223
Washington County Hospital District488059984413

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. Derek Pechacek allows following entities to bill medicare on his behalf.
Entity NameWashington County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659321560
PECOS PAC ID: 4880599844
Enrollment ID: O20031209000278
Entity NameSparta Community Hospital D/b/a Quality Healthcare Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114984226
PECOS PAC ID: 6709870462
Enrollment ID: O20040414000594
Entity NameAnderson Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700807716
PECOS PAC ID: 5193792018
Enrollment ID: O20040910001137
Entity NameMidwest Emergency Good Samaritan, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629367578
PECOS PAC ID: 1658529342
Enrollment ID: O20120921000645
Entity NameMidwest Emergency Centralia Campus Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396034245
PECOS PAC ID: 2163672650
Enrollment ID: O20121018000074
Entity NameMidwest Emergency Anderson Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710647615
PECOS PAC ID: 8022401256
Enrollment ID: O20220210000357
Entity NameMidwest Inpatient Anderson Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821758608
PECOS PAC ID: 3072908474
Enrollment ID: O20220322002045

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. Derek Pechacek 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
Derek Pechacek, FNP-C
2804 Lakeside Dr,
Columbia, IL 62236-2681

Ph: () -		Derek Pechacek, FNP-C
320 E Highway 50,
O Fallon, IL 62269-2704

Ph: (618) 624-3368

Reviews and Comments


Nurse Practitioner Nurses in O Fallon, IL

Kathy Liefer, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3 Saint Elizabeth Blvd, O Fallon, IL 62269
Phone: 618-641-5803    
Annamaria Griffith, DNP, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1405 N Green Mount Rd Ste 240, O Fallon, IL 62269
Phone: 618-632-9000    
Ms. Shambra Cullum, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269
Phone: 217-994-1485    
Mrs. Amy Marie Buck, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 670 Pierce Blvd, O Fallon, IL 62269
Phone: 618-206-2070    
Sarah Jane Brashear, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 320 E Highway 50, O Fallon, IL 62269
Phone: 888-577-6337    
Caitlin Alonzo,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269
Phone: 618-234-2120    

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.