Kelly Knackstedt, APRN in Litchfield, IL - Medicare Nurse Practitioner

Kelly Knackstedt, APRN is a medicare enrolled "Nurse Practitioner - Family" in Litchfield, Illinois. Her current practice location is 1285 Franciscan Dr, Litchfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 324-6127.

Kelly Knackstedt is licensed to practice in Illinois (license number 209019036) 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 1164806493.

Contact Information

	Kelly Knackstedt, APRN
	1285 Franciscan Dr, Litchfield, IL 62056-1778
	(217) 324-6127
	(217) 324-9293

Map and Direction

Provider's Profile

Full Name	Kelly Knackstedt
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1285 Franciscan Dr, Litchfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164806493
Provider Enumeration Date: 07/16/2015
Last Update Date: 07/22/2019

Medicare PECOS Information:

PECOS PAC ID: 3577891274
Enrollment ID: I20190820000010

Medical Identifiers

Medical identifiers for Kelly Knackstedt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164806493	NPI	-	NPPES
209.019036	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	2012036019 (Missouri)	Secondary
163W00000X	Registered Nurse	041.407486 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	209019036 (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. Kelly Knackstedt allows following entities to bill medicare on her behalf.

Entity Name	Litchfield Family Practice Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235189499 PECOS PAC ID: 2466362819 Enrollment ID: O20041123000974

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. Kelly Knackstedt 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
Kelly Knackstedt, APRN Po Box 27, Alhambra, IL 62001-0027 Ph: (618) 488-2694	Kelly Knackstedt, APRN 1285 Franciscan Dr, Litchfield, IL 62056-1778 Ph: (217) 324-6127

Reviews and Comments

Nurse Practitioner Nurses in Litchfield, IL

Mrs. Melissa A Podwojski, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1285 Franciscan Dr, Litchfield, IL 62056 Phone: 217-324-1004 Fax: 217-324-4072
Vicky Joy Fuller, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1285 Franciscan Dr, Litchfield, IL 62056 Phone: 217-324-6127 Fax: 217-324-4522
Mara Knoche, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1285 Franciscan Dr, Litchfield, IL 62056 Phone: 217-324-6127 Fax: 217-324-5959
Ashley D Greenwalt, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15055 E County Line Rd, Litchfield, IL 62056 Phone: 217-556-5169
Judith Marie Banning, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1285 Franciscan Dr, Litchfield, IL 62056 Phone: 217-324-6127 Fax: 217-324-5959
Mrs. Theresa Ann Snyders, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1285 Franciscan Dr, Litchfield, IL 62056 Phone: 217-324-6127 Fax: 217-324-5959
Mr. Janis E Collins, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1285 Franciscan Dr, Litchfield, IL 62056 Phone: 217-324-6127 Fax: 217-324-5959

Kelly Knackstedt, APRN - Medicare Nurse Practitioner in Litchfield, IL