Stacey Elaine Oddera, APRN in Anna, IL - Medicare Nurse Practitioner

Stacey Elaine Oddera, APRN is a medicare enrolled "Nurse Practitioner" in Anna, Illinois. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carbondale Clinic Sc, Harrisburg Family Practice Ltd, Southern Illinois Medical Services Nfp, Logan Primary Care Service Corp. and her current practice location is 98 Peach Ridge Rd, Anna, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 614-1400.

Stacey Elaine Oddera is licensed to practice in Illinois (license number 209022361) 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 1558964080.

Contact Information

	Stacey Elaine Oddera, APRN
	98 Peach Ridge Rd, Anna, IL 62906-2243
	(618) 614-1400
	(618) 614-1401

Map and Direction

Provider's Profile

Full Name	Stacey Elaine Oddera
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	98 Peach Ridge Rd, Anna, 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:

Stacey Elaine Oddera graduated from nursing school in 2020

NPI Data:

NPI Number: 1558964080
Provider Enumeration Date: 11/18/2020
Last Update Date: 10/19/2023

Medicare PECOS Information:

PECOS PAC ID: 4082006804
Enrollment ID: I20220127001898

Medical Identifiers

Medical identifiers for Stacey Elaine Oddera such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558964080	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209022361 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital Of Carbondale	Carbondale, IL	Hospital
Anna Hospital Corporation D/b/a Union County Hospital	Anna, IL	Hospital
Southern Illinois Hospital Services Dba Herrin Hospital	Herrin, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carbondale Clinic Sc	0244143352	31
Harrisburg Family Practice Ltd	2163491564	22
Southern Illinois Medical Services Nfp	3678677390	299
Logan Primary Care Service Corp.	8628967064	34

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. Stacey Elaine Oddera allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Medical Services Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595

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. Stacey Elaine Oddera 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
Stacey Elaine Oddera, APRN Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200	Stacey Elaine Oddera, APRN 98 Peach Ridge Rd, Anna, IL 62906-2243 Ph: (618) 614-1400

Reviews and Comments

Nurse Practitioner Nurses in Anna, IL

Ms. Heather Dawn Davis, APRN,FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 N Main St, Anna, IL 62906 Phone: 618-833-5161 Fax: 618-833-9034
Keith Samuel Bass, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 N Main St, Anna, IL 62906 Phone: 618-833-4471
Cristen Mae Mckibben, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 98 Peach Ridge Rd, Anna, IL 62906 Phone: 618-614-1400 Fax: 618-614-1401
Jessica Elizabeth Wills, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 513 N Main St, Anna, IL 62906 Phone: 618-833-4471 Fax: 618-833-6267
Ms. Erica Vining, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 N Main St, Anna, IL 62906 Phone: 618-833-4471 Fax: 618-833-6267
Adam Brock Goforth, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 N Main St, Anna, IL 62906 Phone: 618-833-4471
Rebecca L Pind, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 517 N Main St, Anna, IL 62906 Phone: 618-833-2295 Fax: 618-833-9058

Stacey Elaine Oddera, APRN - Medicare Nurse Practitioner in Anna, IL