Michelle Elizabeth Dace, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Ingleside, Illinois. 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 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 1700556206.
Provider's Profile
| Full Name | Michelle Elizabeth Dace |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 214 Washington St Ste 1, Ingleside, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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 |
| 1700556206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 209023312 (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. 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 |
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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