Elisha Victor, APRN in Lake Barrington, IL - Medicare Nurse Practitioner

Elisha Victor, APRN is a medicare enrolled "Nurse Practitioner - Family" in Lake Barrington, Illinois. His current practice location is 22285 N Pepper Rd Ste 201, Lake Barrington, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 382-5080.

Elisha Victor is licensed to practice in Illinois (license number 209030675) 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 1790585321.

Contact Information

	Elisha Victor, APRN
	22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010-2540
	(847) 382-5080
	(847) 382-0923

Map and Direction

Provider's Profile

Full Name	Elisha Victor
Gender	Male
Speciality	Nurse Practitioner - Family
Location	22285 N Pepper Rd Ste 201, Lake Barrington, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790585321
Provider Enumeration Date: 03/13/2025
Last Update Date: 03/13/2025

Medicare PECOS Information:

PECOS PAC ID: 2264951615
Enrollment ID: I20250528003637

Medical Identifiers

Medical identifiers for Elisha Victor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790585321	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209030675 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	209030675 (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. Elisha Victor allows following entities to bill medicare on his behalf.

Entity Name	Comprehensive Urologic Care S C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962430041 PECOS PAC ID: 4486553369 Enrollment ID: O20040108000862

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. Elisha Victor 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
Elisha Victor, APRN 22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010-2540 Ph: (847) 382-5080	Elisha Victor, APRN 22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010-2540 Ph: (847) 382-5080

Reviews and Comments

Nurse Practitioner Nurses in Lake Barrington, IL

Mariya Noesen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22285 N Pepper Rd Ste 307, Lake Barrington, IL 60010 Phone: 847-931-7550
Carolyn Lee Johnson, WHNP, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22285 Pepper Rd., Suite 111, Lake Barrington, IL 60010 Phone: 847-382-7330
Ms. Rumyana G Krouleva, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22285 N Pepper Rd, Suite #401, Lake Barrington, IL 60010 Phone: 847-882-6604 Fax: 847-882-6228
Lisa R. Jackson, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22285 N Pepper Rd, Suite 401, Lake Barrington, IL 60010 Phone: 847-882-6604 Fax: 847-882-6228
Erin E Micklinghoff, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22285 N Pepper Rd Ste 311, Lake Barrington, IL 60010 Phone: 847-382-4410 Fax: 847-382-4451
Stephanie Tyree, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22285 N Pepper Rd Ste 302, Lake Barrington, IL 60010 Phone: 847-726-0774 Fax: 847-277-1549
Mrs. Diane C. Carpenter, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22285 Pepper Rd, Suite 111, Lake Barrington, IL 60010 Phone: 847-382-7330 Fax: 847-382-9654

Elisha Victor, APRN - Medicare Nurse Practitioner in Lake Barrington, IL