Jessica Whelan, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Bloomington, Illinois. Her current practice location is
702 W Chestnut St, Bloomington, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 557-1400.
Jessica Whelan is licensed to practice in Illinois (license number 277000634) 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 1033544747.
Healthcare Provider's Profile
Full Name | Jessica Whelan |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 702 W Chestnut St, Bloomington, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033544747
- Provider Enumeration Date: 09/12/2013
- Last Update Date: 09/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 2365671245
- Enrollment ID: I20140219001125
Medical Identifiers
Medical identifiers for Jessica Whelan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033544747 | NPI | - | NPPES |
277000634 | Other | IL | STATE LICENSE IL |
6555912834012 | Other | IL | SURESCRIPTS |
377000614 | Other | IL | IL PRESCRIBING LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TP2701X | Psychologist - Group Psychotherapy | 277000634 (Illinois) | Secondary |
163WA0400X | Registered Nurse - Addiction (substance Use Disorder) | 277000634 (Illinois) | Secondary |
163WC1600X | Registered Nurse - Continuing Education/staff Development | 277000634 (Illinois) | Secondary |
163WG0000X | Registered Nurse - General Practice | 277000634 (Illinois) | Secondary |
163WN0800X | Registered Nurse - Neuroscience | 277000634 (Illinois) | Secondary |
1744R1102X | Specialist - Research Study | 277000634 (Illinois) | Secondary |
2084P0301X | Psychiatry & Neurology - Brain Injury Medicine | 277000634 (Illinois) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2013029034 (Missouri) | Secondary |
364SC2300X | Clinical Nurse Specialist - Chronic Care | 277000634 (Illinois) | Secondary |
364SH1100X | Clinical Nurse Specialist - Holistic | 277000634 (Illinois) | Secondary |
364SP0810X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family | 277000634 (Illinois) | Secondary |
364SP0811X | Clinical Nurse Specialist - Psychiatric/mental Health, Chronically Ill | 277000634 (Illinois) | Secondary |
364SP0812X | Clinical Nurse Specialist - Psychiatric/mental Health, Community | 277000634 (Illinois) | Secondary |
364SP0813X | Clinical Nurse Specialist - Psychiatric/mental Health, Geropsychiatric | 277000634 (Illinois) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277000634 (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. Jessica Whelan allows following entities to bill medicare on her behalf.
Entity Name | County Of St Louis Division Of Fiscal Management |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780639088 PECOS PAC ID: 0941285720 Enrollment ID: O20040628000772 |
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Entity Name | Compassionate Health Care Of St Louis Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679084206 PECOS PAC ID: 6103170295 Enrollment ID: O20181107003537 |
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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. Jessica Whelan 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 |
Jessica Whelan, PMHNP-BC 16549 Clayton Rd Ste 10, Wildwood, MO 63011-1720 Ph: (314) 470-1220 | Jessica Whelan, PMHNP-BC 702 W Chestnut St, Bloomington, IL 61701-2814 Ph: (309) 557-1400 |
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