Mrs Sandre Leona Crain, FNP-BC in South Holland, IL

Mrs Sandre Leona Crain, FNP-BC is a medicare enrolled "Nurse Practitioner - Primary Care" in South Holland, Illinois. Her current practice location is 17066 S Park Ave, South Holland, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 882-0532.

Mrs Sandre Leona Crain is licensed to practice in Illinois (license number 209.016571) 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 1770093171.

Contact Information

	Mrs Sandre Leona Crain, FNP-BC
	17066 S Park Ave, South Holland, IL 60473-3369
	(708) 882-0532
	(647) 799-2792

Map and Direction

Provider's Profile

Full Name	Mrs Sandre Leona Crain
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	17066 S Park Ave, South Holland, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770093171
Provider Enumeration Date: 10/11/2017
Last Update Date: 02/15/2022

Medicare PECOS Information:

PECOS PAC ID: 3274904693
Enrollment ID: I20230123002604

Medical Identifiers

Medical identifiers for Mrs Sandre Leona Crain such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770093171	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209.016571 (Illinois)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	209.016571 (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 Sandre Leona Crain allows following entities to bill medicare on her behalf.

Entity Name	Tca Health Inc Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184757353 PECOS PAC ID: 5991696643 Enrollment ID: O20131028000031

Entity Name	Harvey Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184281651 PECOS PAC ID: 9436486560 Enrollment ID: O20190812001944

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 Sandre Leona Crain 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 Sandre Leona Crain, FNP-BC 9718 S Halsted St, Chicago, IL 60628-1007 Ph: (773) 233-4100	Mrs Sandre Leona Crain, FNP-BC 17066 S Park Ave, South Holland, IL 60473-3369 Ph: (708) 882-0532

Reviews and Comments

Nurse Practitioner Nurses in South Holland, IL

Mrs. Kenisha Davis, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16266 Prince Dr, South Holland, IL 60473 Phone: 708-222-7333 Fax: 708-221-0501
Jennifer Schnell, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16246 Prince Dr, South Holland, IL 60473 Phone: 815-370-4941 Fax: 815-468-3151
Sandra Karim, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16003 Louis Ave, South Holland, IL 60473 Phone: 312-218-5220
Mrs. Jennifer Norris Rosas, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15821 S Park Ave, South Holland, IL 60473 Phone: 708-225-0200 Fax: 708-225-0202
Ms. Rebecca Cummings, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200
Karen Fields, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16456 Dobson Ave, South Holland, IL 60473 Phone: 773-241-9300 Fax: 219-513-9446
Tenesha Nicole Galvin, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16352 Kenwood Ave, South Holland, IL 60473 Phone: 773-366-2926

Mrs Sandre Leona Crain, FNP-BC - Medicare Nurse Practitioner in South Holland, IL