Mr Daniel Thomas Foutch, APRN, PMHNP-BC in Champaign, IL

Mr Daniel Thomas Foutch, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Champaign, Illinois. His current practice location is 328 N Neil St Ste C, Champaign, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 377-0299.

Mr Daniel Thomas Foutch is licensed to practice in Illinois (license number 209023867) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669149134.

Contact Information

	Mr Daniel Thomas Foutch, APRN, PMHNP-BC
	328 N Neil St Ste C, Champaign, IL 61820-3614
	(217) 377-0299
	(217) 492-8588

Map and Direction

Provider's Profile

Full Name	Mr Daniel Thomas Foutch
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	328 N Neil St Ste C, Champaign, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669149134
Provider Enumeration Date: 08/24/2021
Last Update Date: 03/21/2025

Medicare PECOS Information:

PECOS PAC ID: 4880084607
Enrollment ID: I20211209000207

Medical Identifiers

Medical identifiers for Mr Daniel Thomas Foutch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669149134	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	209023867 (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. Mr Daniel Thomas Foutch allows following entities to bill medicare on his behalf.

Entity Name	Pavilion Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518930619 PECOS PAC ID: 7911043740 Enrollment ID: O20091008000646

Entity Name	Grit And Grace Therapy Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013666015 PECOS PAC ID: 2062889371 Enrollment ID: O20221028002667

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. Mr Daniel Thomas Foutch 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
Mr Daniel Thomas Foutch, APRN, PMHNP-BC 328 N Neil St Ste C, Champaign, IL 61820-3614 Ph: (217) 377-0299	Mr Daniel Thomas Foutch, APRN, PMHNP-BC 328 N Neil St Ste C, Champaign, IL 61820-3614 Ph: (217) 377-0299

Reviews and Comments

Nurse Practitioner Nurses in Champaign, IL

Emily Stephenson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-6207 Fax: 217-365-6380
Mrs. Tiffany Ann Rushing, APN, FNP-BC, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1802 S Mattis Ave, Champaign, IL 61821 Phone: 217-365-2855 Fax: 217-365-2856
Maddison P. Draper, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2718 N Prospect Ave, Champaign, IL 61822 Phone: 217-337-3852 Fax: 217-337-3853
Jessica Lynn Mandrell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 819 Bloomington Rd, Champaign, IL 61820 Phone: 217-356-1558
Ms. Greta Obereiner, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1801 Windsor Rd, Champaign, IL 61822 Phone: 217-366-8130 Fax: 217-366-6106
Alger Penas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 S 1st St, Champaign, IL 61820 Phone: 217-383-9400 Fax: 217-383-9691
Miss Abigayl Frields, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1813 W Kirby Ave Ste 120, Champaign, IL 61821 Phone: 217-383-3131

Mr Daniel Thomas Foutch, APRN, PMHNP-BC - Medicare Nurse Practitioner in Champaign, IL