Mr R Richard Cordero, APRN, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Highwood, Illinois. His current practice location is
130 Washington Ave, Highwood, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 909-2004.
Mr R Richard Cordero is licensed to practice in Illinois (license number 277.003598) 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 1538757695.
Provider's Profile
| Full Name | Mr R Richard Cordero |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 130 Washington Ave, Highwood, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538757695
- Provider Enumeration Date: 01/05/2021
- Last Update Date: 04/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 4880003813
- Enrollment ID: I20210504001921
Medical Identifiers
Medical identifiers for Mr R Richard Cordero such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538757695 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | F12190311 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209.020666 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 277.003598 (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 R Richard Cordero allows following entities to bill medicare on his behalf.
| Entity Name | Midwest Express Care 2 Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548692890
PECOS PAC ID: 0547495467
Enrollment ID: O20131031001375 |
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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. Mr R Richard Cordero 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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Mr R Richard Cordero, APRN, NP-C
130 Washington Ave,
Highwood, IL 60040-1122
Ph: (847) 909-2004 | Mr R Richard Cordero, APRN, NP-C
130 Washington Ave,
Highwood, IL 60040-1122
Ph: (847) 909-2004 |
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