Michelle Elizabeth Dace, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Ingleside, Illinois. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fox River Chiropractic and her current practice location is
214 Washington St Ste 1, Ingleside, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 587-3004.
Michelle Elizabeth Dace is licensed to practice in Illinois (license number 209023312) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1700556206.
Provider's Profile
| Full Name | Michelle Elizabeth Dace |
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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 | 214 Washington St Ste 1, Ingleside, Illinois |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michelle Elizabeth Dace graduated from nursing school in 2020
NPI Data:
- NPI Number: 1700556206
- Provider Enumeration Date: 09/16/2021
- Last Update Date: 09/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 6204222334
- Enrollment ID: I20220329002579
Medical Identifiers
Medical identifiers for Michelle Elizabeth Dace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700556206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209023312 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fox River Chiropractic | 7911312020 | 2 |
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 Elizabeth Dace allows following entities to bill medicare on her behalf.
| Entity Name | Fox River Chiropractic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528677903
PECOS PAC ID: 7911312020
Enrollment ID: O20210224000511 |
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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 Elizabeth Dace 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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Michelle Elizabeth Dace, FNP-BC
214 Washington St Ste 1,
Ingleside, IL 60041-9208
Ph: (847) 587-3004 | Michelle Elizabeth Dace, FNP-BC
214 Washington St Ste 1,
Ingleside, IL 60041-9208
Ph: (847) 587-3004 |
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