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

Mrs Sandra A Fader, APN is a medicare enrolled "Nurse Practitioner" in Bloomington, Illinois. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carle Health Care Incorporated, Methodist Medical Center Of Illinois and 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 accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 Name	Mrs Sandra A Fader
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	1111 Trinity Ln Ste 111, Bloomington, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Sandra A Fader graduated from nursing school in 2017

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.

Identifier	Type	State	Issuer
1467961706	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209016547 (Illinois)	Secondary
363L00000X	Nurse Practitioner	209016547 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Methodist Medical Center Of Illinois	Peoria, IL	Hospital
Pekin Memorial Hospital	Pekin, IL	Hospital
Saint Francis Medical Center	Peoria, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carle Health Care Incorporated	3577515774	1537
Methodist Medical Center Of Illinois	1355259714	401

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 Name	Methodist Medical Center Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494

Entity Name	Methodist Medical Center Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184670663 PECOS PAC ID: 1355259714 Enrollment ID: O20040315000196

Entity Name	Carle Health Care Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829

Entity Name	Carle West Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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

Nurse Practitioner Nurses in Bloomington, IL

Theresa Kauth, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808
Cheryl Hansen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3024 E Empire St, Bloomington, IL 61704 Phone: 309-454-4411
Carey Harris, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3120 Fax: 309-664-3890
Elizabeth Jeanne Igoe, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3024 E Empire St Ste A, Bloomington, IL 61704 Phone: 309-556-7800 Fax: 309-556-7804
Ms. Linda Kay Wall, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 318 W Washington St, 3rd Floor, Bloomington, IL 61701 Phone: 309-827-4014 Fax: 309-828-6626
Amy O'brien, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1401 Eastland Dr, Bloomington, IL 61701 Phone: 309-661-3360 Fax: 309-661-3390
Amanda Lynn Ruona, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 308-982-7535

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