Dr Nicholas Iden, DNP - Medicare Nurse Anesthetist, Certified Registered in Maywood, IL

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Dr Nicholas Iden, DNP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Maywood, Illinois. His current practice location is 2160 S 1st Ave, Maywood, Illinois. You can reach out to his office (for appointments etc.) via phone at (888) 584-7888.

Dr Nicholas Iden is licensed to practice in Illinois (license number 209026518) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780301028.

Contact Information

Dr Nicholas Iden, DNP
2160 S 1st Ave,
Maywood, IL 60153-3328
(888) 584-7888
Not Available

Map and Direction




Provider's Profile

Full NameDr Nicholas Iden
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location2160 S 1st Ave, Maywood, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780301028
  • Provider Enumeration Date: 10/27/2022
  • Last Update Date: 12/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2668841404
  • Enrollment ID: I20221216002343

Medical Identifiers

Medical identifiers for Dr Nicholas Iden such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780301028NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 041409236 (Illinois)Secondary
367500000XNurse Anesthetist, Certified Registered 209026518 (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. Dr Nicholas Iden allows following entities to bill medicare on his behalf.
Entity NameLoyola University Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336159961
PECOS PAC ID: 3779488903
Enrollment ID: O20031202000027
Entity NameNorthshore University Healthsystem Faculty Practice Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118

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 Nicholas Iden 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
Dr Nicholas Iden, DNP
2615 N Forrest Ln,
Arlington Heights, IL 60004-2241

Ph: () -		Dr Nicholas Iden, DNP
2160 S 1st Ave,
Maywood, IL 60153-3328

Ph: (888) 584-7888

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Maywood, IL

Joseph Marinaro, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-8785    
Mark Byram,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-9000    
Laura Hartman,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 847-347-9847    
Joshua Mitchell,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-3619    
Ebonee Monique Blake,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-9000    
Joy Malenie Chaksupa, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-5856    
Luis Enrique Negron, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 888-584-7888    

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.