Dory Mickna, FNP-C - Medicare Nurse Practitioner in Pekin, IL

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Dory Mickna, FNP-C is a medicare enrolled "Nurse Practitioner" in Pekin, Illinois. Her current practice location is 2301 Court St, Pekin, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 308-5100.

Dory Mickna is licensed to practice in Illinois (license number 209025883) 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 1700507167.

Contact Information

Dory Mickna, FNP-C
2301 Court St,
Pekin, IL 61554-5304
(309) 308-5100
Not Available

Map and Direction




Provider's Profile

Full NameDory Mickna
GenderFemale
SpecialityNurse Practitioner
Location2301 Court St, Pekin, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700507167
  • Provider Enumeration Date: 09/06/2022
  • Last Update Date: 09/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8022486430
  • Enrollment ID: I20221116000773

Medical Identifiers

Medical identifiers for Dory Mickna such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700507167NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209025883 (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. Dory Mickna allows following entities to bill medicare on her behalf.
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Dory Mickna 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
Dory Mickna, FNP-C
11550 Ropp Rd,
Tremont, IL 61568-8803

Ph: (309) 202-7808		Dory Mickna, FNP-C
2301 Court St,
Pekin, IL 61554-5304

Ph: (309) 308-5100

Reviews and Comments


Nurse Practitioner Nurses in Pekin, IL

Emily Crebo, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 610 Park Ave, Pekin, IL 61554
Phone: 309-346-7776    
Kayla Ferman,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3591 Griffin Ave, Pekin, IL 61554
Phone: 309-353-1822    
Madeline Jo Gresham, WHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 19 Olt Ave, Pekin, IL 61554
Phone: 309-680-7600    Fax: 309-353-3334
Shauna L Bivens, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Griffin Ave., Pekin, IL 61554
Phone: 309-347-4277    Fax: 309-347-4388
Theresa Abbadusky,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Broadway St, Pekin, IL 61554
Phone: 309-346-3416    
Bridget Lynn Welker,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1800 Broadway St, Pekin, IL 61554
Phone: 309-346-3416    
Michael Allen Rossetto, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3422a Court St, Pekin, IL 61554
Phone: 309-477-6000    

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.