Lisa Friebohle, - Medicare Nurse Practitioner in Peoria Heights, IL

  1. Home
  2. Nurse Practitioner
  3. IL
  4. Peoria Heights
Lisa Friebohle, is a medicare enrolled "Nurse Practitioner - Adult Health" in Peoria Heights, Illinois. Her current practice location is 1120 E War Memorial Dr, Peoria Heights, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 685-4411.

Lisa Friebohle is licensed to practice in Illinois (license number 277001893) 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 1629466743.

Contact Information

Lisa Friebohle,
1120 E War Memorial Dr,
Peoria Heights, IL 61616-7757
(309) 685-4411
(309) 685-3648

Map and Direction




Provider's Profile

Full NameLisa Friebohle
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location1120 E War Memorial Dr, Peoria Heights, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629466743
  • Provider Enumeration Date: 12/23/2014
  • Last Update Date: 01/06/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5799001624
  • Enrollment ID: I20150311001672

Medical Identifiers

Medical identifiers for Lisa Friebohle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629466743NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 277001893 (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. Lisa Friebohle allows following entities to bill medicare on her behalf.
Entity NameProctor Health Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134173917
PECOS PAC ID: 3476440173
Enrollment ID: O20040227000906
Entity NameMethodist Medical Center Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184670663
PECOS PAC ID: 1355259714
Enrollment ID: O20040315000196

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. Lisa Friebohle 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
Lisa Friebohle,
1120 E War Memorial Dr,
Peoria Heights, IL 61616-7757

Ph: (309) 685-4411		Lisa Friebohle,
1120 E War Memorial Dr,
Peoria Heights, IL 61616-7757

Ph: (309) 685-4411

Reviews and Comments


Nurse Practitioner Nurses in Peoria Heights, IL

Amber Marian Breitzman, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1120 E War Memorial Dr, Peoria Heights, IL 61616
Phone: 309-685-4411    
Kevin Spangler, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1120 E War Memorial Dr, Peoria Heights, IL 61616
Phone: 309-685-4411    

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.