Michelle Denise Mcquillan, DNP, FNP-BC is a medicare enrolled "Nurse Practitioner" in O'fallon, Illinois. She went to Southern Illinois University School Of Medicine and graduated in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cancer Care Specialists Of Central Illinois Sc and her current practice location is
321 Regency Park, O'fallon, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 416-7970.
Michelle Denise Mcquillan is licensed to practice in Illinois (license number 209.021778) 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 1013533819.
Provider's Profile
| Full Name | Michelle Denise Mcquillan |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 321 Regency Park, O'fallon, 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. |
Medical Education and Training:
- Michelle Denise Mcquillan attended and graduated from Southern Illinois University School Of Medicine in 2020
NPI Data:
- NPI Number: 1013533819
- Provider Enumeration Date: 06/18/2020
- Last Update Date: 12/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 8123445673
- Enrollment ID: I20200828000495
Medical Identifiers
Medical identifiers for Michelle Denise Mcquillan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1013533819 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 209021778 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209.021778 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Cancer Care Specialists Of Central Illinois Sc | 5991619116 | 31 |
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. Michelle Denise Mcquillan allows following entities to bill medicare on her behalf.
| Entity Name | Cancer Care Specialists Of Central Illinois Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871580142 PECOS PAC ID: 5991619116 Enrollment ID: O20031113000022 |
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| Entity Name | Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851390132 PECOS PAC ID: 5294649372 Enrollment ID: O20031113000382 |
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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. Michelle Denise Mcquillan 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 |
Michelle Denise Mcquillan, DNP, FNP-BC 210 W. Mckinley Ave., Suite 1, Decatur, IL 62526 Ph: (217) 877-9442 | Michelle Denise Mcquillan, DNP, FNP-BC 321 Regency Park, O'fallon, IL 62269 Ph: (618) 416-7970 |
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