Katherine Anne Phillips, APRN-FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Warsaw, Illinois. Her current practice location is
1102 N County Road 700, Warsaw, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 256-4100.
Katherine Anne Phillips is licensed to practice in Illinois (license number 209017309) 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 1013410158.
Provider's Profile
| Full Name | Katherine Anne Phillips |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1102 N County Road 700, Warsaw, 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: 1013410158
- Provider Enumeration Date: 03/15/2018
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 2264795038
- Enrollment ID: I20180409000007
Medical Identifiers
Medical identifiers for Katherine Anne Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013410158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209017309 (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. Katherine Anne Phillips allows following entities to bill medicare on her behalf.
| Entity Name | Blessing Corporate Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720186265
PECOS PAC ID: 5991616138
Enrollment ID: O20040116000382 |
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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. Katherine Anne Phillips 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 |
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Katherine Anne Phillips, APRN-FNP-BC
1102 N County Road 700,
Warsaw, IL 62379-3011
Ph: (217) 256-4100 | Katherine Anne Phillips, APRN-FNP-BC
1102 N County Road 700,
Warsaw, IL 62379-3011
Ph: (217) 256-4100 |
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