Teah Brandt, in Sycamore, IL - Medicare Nurse Practitioner

Teah Brandt, is a medicare enrolled "Nurse Practitioner - Family" in Sycamore, Illinois. Her current practice location is 954 W State St, Sycamore, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 895-9144.

Teah Brandt is licensed to practice in Illinois (license number 209014996) 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 1487197588.

Contact Information

	Teah Brandt,
	954 W State St, Sycamore, IL 60178-1335
	(815) 895-9144
	(815) 895-5740

Map and Direction

Provider's Profile

Full Name	Teah Brandt
Gender	Female
Speciality	Nurse Practitioner - Family
Location	954 W State St, Sycamore, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487197588
Provider Enumeration Date: 11/22/2016
Last Update Date: 09/13/2019

Medicare PECOS Information:

PECOS PAC ID: 7315221777
Enrollment ID: I20220719002749

Medical Identifiers

Medical identifiers for Teah Brandt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487197588	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209014996 (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. Teah Brandt allows following entities to bill medicare on her behalf.

Entity Name	Crossroads Medical Group, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073539607 PECOS PAC ID: 3779544895 Enrollment ID: O20071203000721

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. Teah Brandt 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
Teah Brandt, 4822 Caton Farm Rd, Plainfield, IL 60586-8262 Ph: (800) 323-8622	Teah Brandt, 954 W State St, Sycamore, IL 60178-1335 Ph: (815) 895-9144

Reviews and Comments

Nurse Practitioner Nurses in Sycamore, IL

Mrs. Jessica R Anderson, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 E Plank Rd, Sycamore, IL 60178 Phone: 844-599-3700
Deepak Sharma, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 437 W State St Apt 101, Sycamore, IL 60178 Phone: 630-550-1058 Fax: 815-205-4545
Megan Fish, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr Ste 103, Sycamore, IL 60178 Phone: 815-758-8671 Fax: 815-756-4892
Mrs. Teresa Kay Farris, APN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Drive, Sycamore, IL 60178 Phone: 815-758-8671 Fax: 815-758-7298
Jennifer Tarvestad, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-758-8671 Fax: 815-756-4892
Nicole Rodiek, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2127 Midlands Ct Unit 203, Sycamore, IL 60178 Phone: 815-758-8106 Fax: 815-758-8108
Ms. Linda Ann Myers, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 760 Foxpointe Dr, Sycamore, IL 60178 Phone: 815-748-8334 Fax: 815-748-1587

Teah Brandt, - Medicare Nurse Practitioner in Sycamore, IL