Dr Amber M Altidor, DNP, APRN, PMHNP-BC in Springfield, IL

Dr Amber M Altidor, DNP, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Springfield, Illinois. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rush University Medical Group and her current practice location is 2501 Chatham Rd, Ste 4134, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 716-3478.

Dr Amber M Altidor is licensed to practice in Illinois (license number 209024124) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407528987.

Contact Information

	Dr Amber M Altidor, DNP, APRN, PMHNP-BC
	2501 Chatham Rd, Ste 4134, Springfield, IL 62704-6270
	(773) 716-3478
	(618) 822-4030

Map and Direction

Provider's Profile

Full Name	Dr Amber M Altidor
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	2501 Chatham Rd, Springfield, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Amber M Altidor graduated from nursing school in 2021

NPI Data:

NPI Number: 1407528987
Provider Enumeration Date: 10/02/2021
Last Update Date: 12/15/2023

Medicare PECOS Information:

PECOS PAC ID: 9739571522
Enrollment ID: I20230821003181

Medical Identifiers

Medical identifiers for Dr Amber M Altidor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407528987	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	209024124 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rush University Medical Center	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rush University Medical Group	5496658874	1134

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. Dr Amber M Altidor allows following entities to bill medicare on her behalf.

Entity Name	Rush University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228

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. Dr Amber M Altidor 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
Dr Amber M Altidor, DNP, APRN, PMHNP-BC 2501 Chatham Road, Suite 4134, Springfield, IL 62704-5746 Ph: (773) 716-3478	Dr Amber M Altidor, DNP, APRN, PMHNP-BC 2501 Chatham Rd, Ste 4134, Springfield, IL 62704-6270 Ph: (773) 716-3478

Reviews and Comments

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Dr Amber M Altidor, DNP, APRN, PMHNP-BC - Medicare Nurse Practitioner in Springfield, IL