Michelle Renee Dormanen, CNM - Medicare Advanced Practice Midwife in Chicago, IL

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Michelle Renee Dormanen, CNM is a medicare enrolled "Advanced Practice Midwife" in Chicago, Illinois. Her current practice location is 2653 W Ogden Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 257-6508.

Michelle Renee Dormanen is licensed to practice in * (Not Available) (license number CNM04289) 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 1255814679.

Contact Information

Michelle Renee Dormanen, CNM
2653 W Ogden Ave,
Chicago, IL 60608
(773) 257-6508
Not Available

Map and Direction




Provider's Profile

Full NameMichelle Renee Dormanen
GenderFemale
SpecialityAdvanced Practice Midwife
Location2653 W Ogden Ave, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255814679
  • Provider Enumeration Date: 09/11/2018
  • Last Update Date: 03/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1052655776
  • Enrollment ID: I20181207000131

Medical Identifiers

Medical identifiers for Michelle Renee Dormanen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255814679NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WX0003XRegistered Nurse - Obstetric, Inpatient 041.431303 (Illinois)Secondary
367A00000XAdvanced Practice Midwife (* (Not Available))Secondary
367A00000XAdvanced Practice Midwife CNM04289 (* (Not Available))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 Renee Dormanen allows following entities to bill medicare on her behalf.
Entity NameAccess Community Health Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982783692
PECOS PAC ID: 9537076112
Enrollment ID: O20031204000985
Entity NameMount Sinai Community Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376715896
PECOS PAC ID: 5991600405
Enrollment ID: O20040202001032
Entity NameAlivio Medical Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083860845
PECOS PAC ID: 5698840924
Enrollment ID: O20081114000791

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 Renee Dormanen 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
Michelle Renee Dormanen, CNM
1500 S. Fairfield Ave,
Chicago, IL 60608

Ph: (737) 257-6691		Michelle Renee Dormanen, CNM
2653 W Ogden Ave,
Chicago, IL 60608

Ph: (773) 257-6508

Reviews and Comments


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Tracy A Abraham,
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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.