Mrs Ellen Dekold, APN in Lombard, IL - Medicare Nurse Practitioner

Mrs Ellen Dekold, APN is a medicare enrolled "Nurse Practitioner" in Lombard, Illinois. Her current practice location is 1s072 Luther Ave, Lombard, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 247-8877.

Mrs Ellen Dekold is licensed to practice in Illinois (license number 209.019486) 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 1316571151.

Contact Information

	Mrs Ellen Dekold, APN
	1s072 Luther Ave, Lombard, IL 60148-4164
	(630) 247-8877
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Ellen Dekold
Gender	Female
Speciality	Nurse Practitioner
Location	1s072 Luther Ave, Lombard, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316571151
Provider Enumeration Date: 03/02/2020
Last Update Date: 03/02/2020

Medicare PECOS Information:

PECOS PAC ID: 9335578236
Enrollment ID: I20200327001856

Medical Identifiers

Medical identifiers for Mrs Ellen Dekold such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316571151	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209.019486 (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. Mrs Ellen Dekold allows following entities to bill medicare on her behalf.

Entity Name	Id Associates Limited
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699201582 PECOS PAC ID: 8820354616 Enrollment ID: O20171110001578

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. Mrs Ellen Dekold 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
Mrs Ellen Dekold, APN 11750 Winding Trails Dr, Willow Springs, IL 60480-1191 Ph: (630) 432-9830	Mrs Ellen Dekold, APN 1s072 Luther Ave, Lombard, IL 60148-4164 Ph: (630) 247-8877

Reviews and Comments

Nurse Practitioner Nurses in Lombard, IL

Mrs. Uzma Shamsi, MS, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2340 S Highland Ave Ste 270, Lombard, IL 60148 Phone: 630-293-4124
Teena Aikara Joseph, MSN, APN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 S Main St Ste 203, Lombard, IL 60148 Phone: 630-627-3700
Elizabeth Fleming, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 580 Waters Edge Ste 100, Lombard, IL 60148 Phone: 630-495-8484
Aleksandra Wojewoda, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1s072 Luther Ave, Lombard, IL 60148 Phone: 630-247-8877 Fax: 630-576-0580
Philomina O Okegbu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 244 E Roosevelt Rd, Lombard, IL 60148 Phone: 773-690-3917
Monika Sitko, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3 E 14th Pl, Lombard, IL 60148 Phone: 773-322-9091
Matthew Chow, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 244 E Roosevelt Rd, Lombard, IL 60148 Phone: 224-365-8112

Mrs Ellen Dekold, APN - Medicare Nurse Practitioner in Lombard, IL