Diesawit T Hansom, FNP - Medicare Nurse Practitioner in Willowbrook, IL

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Diesawit T Hansom, FNP is a medicare enrolled "Nurse Practitioner - Family" in Willowbrook, Illinois. Her current practice location is 40 75th St, Willowbrook, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 581-5372.

Diesawit T Hansom is licensed to practice in Illinois (license number 209.026574) 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 1689391633.

Contact Information

Diesawit T Hansom, FNP
40 75th St,
Willowbrook, IL 60527-2325
(630) 581-5372
Not Available

Map and Direction




Provider's Profile

Full NameDiesawit T Hansom
GenderFemale
SpecialityNurse Practitioner - Family
Location40 75th St, Willowbrook, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689391633
  • Provider Enumeration Date: 10/20/2022
  • Last Update Date: 12/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8820462849
  • Enrollment ID: I20230314002620

Medical Identifiers

Medical identifiers for Diesawit T Hansom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689391633NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.026574 (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. Diesawit T Hansom allows following entities to bill medicare on her behalf.
Entity NameMidwest Express Care 2 Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548692890
PECOS PAC ID: 0547495467
Enrollment ID: O20131031001375
Entity NameLake County Immediate Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285048975
PECOS PAC ID: 6204158280
Enrollment ID: O20141202000857
Entity NameYour Healthcare Source Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811740046
PECOS PAC ID: 6709320526
Enrollment ID: O20240703000432

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. Diesawit T Hansom 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
Diesawit T Hansom, FNP
40 75th St,
Willowbrook, IL 60527-2325

Ph: (512) 734-9003		Diesawit T Hansom, FNP
40 75th St,
Willowbrook, IL 60527-2325

Ph: (630) 581-5372

Reviews and Comments


Nurse Practitioner Nurses in Willowbrook, IL

Patricia Kuenzi, ANP-BC
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Practice Location: 535 Plainfield Rd, Willowbrook, IL 60527
Phone: 630-986-7501    
Marie Rochelle Gonzalo Wauna,
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Practice Location: 40 75th St, Willowbrook, IL 60527
Phone: 630-581-5372    
Irma Dondiego, FNP-BC, NP-C
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Practice Location: 40 75th St, Willowbrook, IL 60527
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Vanessa Diaz Cloud,
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Practice Location: 535 Plainfield Rd Ste D, Willowbrook, IL 60527
Phone: 630-277-9018    Fax: 866-531-8584
Valbona Capani, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 40 75th St, Willowbrook, IL 60527
Phone: 630-581-5372    
Joanna Czmiel,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 40 75th St, Willowbrook, IL 60527
Phone: 630-581-5372    
Noor A Abutaha, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 40 75th St, Willowbrook, IL 60527
Phone: 630-581-5372    

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).

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