Ellen M Chapman Pogue, NP is a medicare enrolled "Family Medicine" in Du Quoin, Illinois. Her current practice location is
20 N Washington St, Suite 2, Du Quoin, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 542-2129.
Ellen M Chapman Pogue is licensed to practice in Illinois (license number 209004233) 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 1114996642.
Provider's Profile
| Full Name | Ellen M Chapman Pogue |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 20 N Washington St, Du Quoin, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114996642
- Provider Enumeration Date: 03/16/2006
- Last Update Date: 11/02/2009
Medicare PECOS Information:
- PECOS PAC ID: 6002879970
- Enrollment ID: I20041111000105
Medical Identifiers
Medical identifiers for Ellen M Chapman Pogue such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114996642 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 209004233 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 209004233 (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. Ellen M Chapman Pogue allows following entities to bill medicare on her behalf.
| Entity Name | Craig W Furry |
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| Entity Type | Practitioner - Family Practice |
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| Entity Identifiers | NPI Number: 1609864750
PECOS PAC ID: 7810807658
Enrollment ID: I20040522000308 |
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| Entity Name | Pinckneyville Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689646523
PECOS PAC ID: 8123921632
Enrollment ID: O20040131000065 |
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| Entity Name | Southern Illinois Gi Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093775405
PECOS PAC ID: 1658337456
Enrollment ID: O20041203000280 |
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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. Ellen M Chapman Pogue 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 |
|---|
Ellen M Chapman Pogue, NP
354 Us Route 51,
Du Quoin, IL 62832-4211
Ph: (618) 542-6272 | Ellen M Chapman Pogue, NP
20 N Washington St, Suite 2,
Du Quoin, IL 62832-1403
Ph: (618) 542-2129 |
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