Terri Lynn Braddock-hartman, APRN, BC - Medicare Nurse Practitioner in Benton, IL

  1. Home
  2. Nurse Practitioner
  3. IL
  4. Benton
Terri Lynn Braddock-hartman, APRN, BC is a medicare enrolled "Nurse Practitioner" in Benton, Illinois. Her current practice location is 201 Bailey Ln, Benton, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 439-3161.

Terri Lynn Braddock-hartman is licensed to practice in Illinois (license number 209003437) 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 1477637551.

Contact Information

Terri Lynn Braddock-hartman, APRN, BC
201 Bailey Ln,
Benton, IL 62812-1969
(618) 439-3161
(618) 435-2969

Map and Direction




Provider's Profile

Full NameTerri Lynn Braddock-hartman
GenderFemale
SpecialityNurse Practitioner
Location201 Bailey Ln, Benton, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477637551
  • Provider Enumeration Date: 10/25/2006
  • Last Update Date: 03/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092811091
  • Enrollment ID: I20070508000700

Medical Identifiers

Medical identifiers for Terri Lynn Braddock-hartman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477637551NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209-003437 (Illinois)Secondary
363L00000XNurse Practitioner 209003437 (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. Terri Lynn Braddock-hartman allows following entities to bill medicare on her behalf.
Entity NameDeaconess Illinois Specialty Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972210235
PECOS PAC ID: 9830562016
Enrollment ID: O20230321001688

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. Terri Lynn Braddock-hartman 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
Terri Lynn Braddock-hartman, APRN, BC
309 W Saint Louis St, Ste C,
West Frankfort, IL 62896-2047

Ph: (618) 899-3636		Terri Lynn Braddock-hartman, APRN, BC
201 Bailey Ln,
Benton, IL 62812-1969

Ph: (618) 439-3161

Reviews and Comments


Nurse Practitioner Nurses in Benton, IL

Ms. Kayla Lorraine Kimmel, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 Bailey Ln, Benton, IL 62812
Phone: 618-218-3690    
Christy K Williams, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 107 E Smith St Ste B, Benton, IL 62812
Phone: 618-435-9315    Fax: 618-435-9316
Natasha Bates, APRN, PMHNP-BC
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 107 E Smith St Ste B, Benton, IL 62812
Phone: 618-435-9315    Fax: 618-435-9316
Jacklyn M Fitzpatrick, GNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 206 E Church St Ste B, Benton, IL 62812
Phone: 618-435-9888    Fax: 618-435-9889
Mrs. Cindy L Lord, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 501 N Du Quoin St, Benton, IL 62812
Phone: 618-435-5362    
Rose Y Grunert, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 201 Bailey Ln, Benton, IL 62812
Phone: 618-439-3161    Fax: 618-439-7126

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.