Mrs Sandra A Fader, APN - Medicare Nurse Practitioner in Bloomington, IL

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Mrs Sandra A Fader, APN is a medicare enrolled "Nurse Practitioner" in Bloomington, Illinois. Her current practice location is 1111 Trinity Ln Ste 111, Bloomington, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 663-6461.

Mrs Sandra A Fader is licensed to practice in Illinois (license number 209016547) 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 1467961706.

Contact Information

Mrs Sandra A Fader, APN
1111 Trinity Ln Ste 111,
Bloomington, IL 61704-8112
(309) 663-6461
(309) 663-5711

Map and Direction




Provider's Profile

Full NameMrs Sandra A Fader
GenderFemale
SpecialityNurse Practitioner
Location1111 Trinity Ln Ste 111, Bloomington, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467961706
  • Provider Enumeration Date: 09/28/2017
  • Last Update Date: 01/29/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5294091450
  • Enrollment ID: I20171106000280

Medical Identifiers

Medical identifiers for Mrs Sandra A Fader such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467961706NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209016547 (Illinois)Secondary
363L00000XNurse Practitioner 209016547 (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 Sandra A Fader allows following entities to bill medicare on her behalf.
Entity NameMethodist Medical Center Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982656575
PECOS PAC ID: 1355259714
Enrollment ID: O20031126000494
Entity NameMethodist Medical Center Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184670663
PECOS PAC ID: 1355259714
Enrollment ID: O20040315000196
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829
Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147

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 Sandra A Fader 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 Sandra A Fader, APN
611 W. Park St, Fapc,
Urbana, IL 61801

Ph: () -		Mrs Sandra A Fader, APN
1111 Trinity Ln Ste 111,
Bloomington, IL 61704-8112

Ph: (309) 663-6461

Reviews and Comments


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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).

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