Mrs Samantha Collins, FNP - Medicare Nurse Practitioner in Willowbrook, IL

  1. Home
  2. Nurse Practitioner
  3. IL
  4. Willowbrook
Mrs Samantha Collins, FNP is a medicare enrolled "Nurse Practitioner - Family" in Willowbrook, Illinois. Her current practice location is 40 75th St, Willowbrook, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 581-5372.

Mrs Samantha Collins is licensed to practice in Illinois (license number 209021344) 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 1306456819.

Contact Information

Mrs Samantha Collins, FNP
40 75th St,
Willowbrook, IL 60527-2325
(630) 581-5372
Not Available

Map and Direction




Provider's Profile

Full NameMrs Samantha Collins
GenderFemale
SpecialityNurse Practitioner - Family
Location40 75th St, Willowbrook, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306456819
  • Provider Enumeration Date: 08/10/2020
  • Last Update Date: 08/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4880010834
  • Enrollment ID: I20200820002485

Medical Identifiers

Medical identifiers for Mrs Samantha Collins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306456819NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209021344 (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 Samantha Collins allows following entities to bill medicare on her behalf.
Entity NameHealth Service Systems, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851323257
PECOS PAC ID: 2264408699
Enrollment ID: O20040908000350
Entity NameMidwest Express Care 2 Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548692890
PECOS PAC ID: 0547495467
Enrollment ID: O20131031001375
Entity NameE Mediate Cure Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780051466
PECOS PAC ID: 4587974332
Enrollment ID: O20151105002342
Entity NamePremier Suburban Medical Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902412950
PECOS PAC ID: 5294155818
Enrollment ID: O20201021001250

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 Samantha Collins 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
Mrs Samantha Collins, FNP
1103 Treesdale Way,
Joliet, IL 60431-8580

Ph: (815) 735-3213		Mrs Samantha Collins, FNP
40 75th St,
Willowbrook, IL 60527-2325

Ph: (630) 581-5372

Reviews and Comments


Nurse Practitioner Nurses in Willowbrook, IL

Patricia Kuenzi, ANP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 535 Plainfield Rd, Willowbrook, IL 60527
Phone: 630-986-7501    
Marie Rochelle Gonzalo Wauna,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 40 75th St, Willowbrook, IL 60527
Phone: 630-581-5372    
Irma Dondiego, FNP-BC, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 40 75th St, Willowbrook, IL 60527
Phone: 630-581-5372    
Dana Clayter,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 40 75th St, Willowbrook, IL 60527
Phone: 630-400-4060    
Vanessa Diaz Cloud,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 535 Plainfield Rd Ste D, Willowbrook, IL 60527
Phone: 630-277-9018    Fax: 866-531-8584
Valbona Capani, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 40 75th St, Willowbrook, IL 60527
Phone: 630-581-5372    
Joanna Czmiel,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 40 75th St, Willowbrook, IL 60527
Phone: 630-581-5372    

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.