Laura J Amidon, NP is a medicare enrolled "Nurse Practitioner - Family" in Mount Pulaski, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1997 and has 28 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Genesis Health System and her current practice location is
221 N Lafayette St, Mount Pulaski, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 792-5375.
Laura J Amidon is licensed to practice in Illinois (license number 277000386) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508967837.
Provider's Profile
| Full Name | Laura J Amidon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 28 Years |
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| Location | 221 N Lafayette St, Mount Pulaski, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Laura J Amidon attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1997
NPI Data:
- NPI Number: 1508967837
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 01/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 3870517675
- Enrollment ID: I20230615000488
Medical Identifiers
Medical identifiers for Laura J Amidon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508967837 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 209-000540 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 277000386 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Genesis Health System | 6103829338 | 203 |
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. Laura J Amidon allows following entities to bill medicare on her behalf.
| Entity Name | Genesis Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528616901
PECOS PAC ID: 6103829338
Enrollment ID: O20191031002622 |
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| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191217001453 |
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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. Laura J Amidon 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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Laura J Amidon, NP
221 N Lafayette St,
Mount Pulaski, IL 62548-1231
Ph: (217) 792-5375 | Laura J Amidon, NP
221 N Lafayette St,
Mount Pulaski, IL 62548-1231
Ph: (217) 792-5375 |
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