Katy Helene Wine, MSN, FNP-C - Medicare Nurse Practitioner in Shiloh, IL

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Katy Helene Wine, MSN, FNP-C is a medicare enrolled "Nurse Practitioner" in Shiloh, Illinois. Her current practice location is 1414 Cross St Ste 240, Shiloh, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 234-2390.

Katy Helene Wine is licensed to practice in Illinois (license number 209018627) 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 1174150726.

Contact Information

Katy Helene Wine, MSN, FNP-C
1414 Cross St Ste 240,
Shiloh, IL 62269-2941
(618) 234-2390
(618) 234-9936

Map and Direction




Provider's Profile

Full NameKaty Helene Wine
GenderFemale
SpecialityNurse Practitioner
Location1414 Cross St Ste 240, Shiloh, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174150726
  • Provider Enumeration Date: 03/24/2020
  • Last Update Date: 04/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0446690259
  • Enrollment ID: I20240426002050

Medical Identifiers

Medical identifiers for Katy Helene Wine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174150726NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 2019001390 (Missouri)Secondary
363LF0000XNurse Practitioner - Family 2019001390 (Missouri)Secondary
363L00000XNurse Practitioner 209018627 (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. Katy Helene Wine allows following entities to bill medicare on her behalf.
Entity NameFairview Heights Medical Group Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679503668
PECOS PAC ID: 6800784083
Enrollment ID: O20040309000650

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. Katy Helene Wine 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
Katy Helene Wine, MSN, FNP-C
660 Mason Ridge Center Dr Ste 300,
Saint Louis, MO 63141-8512

Ph: (314) 448-3791		Katy Helene Wine, MSN, FNP-C
1414 Cross St Ste 240,
Shiloh, IL 62269-2941

Ph: (618) 234-2390

Reviews and Comments


Nurse Practitioner Nurses in Shiloh, IL

Danielle Lynn Frueh, FNP-BC
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Practice Location: 1170 Fortune Blvd, Shiloh, IL 62269
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Gaylin Manion, FNP
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Practice Location: 1167 Fortune Blvd, Shiloh, IL 62269
Phone: 618-207-6900    Fax: 618-207-6901
Megan Elizabeth Lesko, NP
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Practice Location: 1179 Fortune Blvd, Shiloh, IL 62269
Phone: 309-368-8984    
Christina Marie Weibley, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 1170 Fortune Blvd, Shiloh, IL 62269
Phone: 618-997-5266    Fax: 833-431-2272
Lindsey Nicole Erickson, NP
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Practice Location: 1414 Cross St Ste 230, Shiloh, IL 62269
Phone: 618-607-1260    
Ms. Kayce Justine Bourgette, FNP
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Medicare: Medicare Enrolled
Practice Location: 1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269
Phone: 800-647-2098    Fax: 618-622-9724
Kristy Wienstroer, WHNP
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Medicare: Medicare Enrolled
Practice Location: 1191 Fortune Blvd, Shiloh, IL 62269
Phone: 618-206-6101    

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.