Ms Lenette Baltazar, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Waukegan, Illinois. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice V Covington, Llc and her current practice location is
2615 Washington St, Waukegan, Illinois. You can reach out to her office (for appointments etc.) via phone at
(855) 990-1900.
Ms Lenette Baltazar is licensed to practice in Illinois (license number 209025267) 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 1851028245.
Healthcare Provider's Profile
| Full Name | Ms Lenette Baltazar |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 2615 Washington St, Waukegan, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Lenette Baltazar graduated from medical school in 2021
NPI Data:
- NPI Number: 1851028245
- Provider Enumeration Date: 08/04/2022
- Last Update Date: 12/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 4587030374
- Enrollment ID: I20221019001769
Medical Identifiers
Medical identifiers for Ms Lenette Baltazar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851028245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209025267 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| V Covington, Llc | 7315209988 | 8 |
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. Ms Lenette Baltazar allows following entities to bill medicare on her behalf.
| Entity Name | V Covington, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134634116
PECOS PAC ID: 7315209988
Enrollment ID: O20180328000814 |
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| Entity Name | Top Medical Consultants Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194497941
PECOS PAC ID: 8426449950
Enrollment ID: O20211217000020 |
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| Entity Name | Illinois Center For Neurological And Behavioral Medicine Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649824459
PECOS PAC ID: 5698131670
Enrollment ID: O20230517001394 |
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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. Ms Lenette Baltazar 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 |
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Ms Lenette Baltazar, PMHNP
1147 Sawmill Ln,
Algonquin, IL 60102-5967
Ph: (708) 769-2759 | Ms Lenette Baltazar, PMHNP
2615 Washington St,
Waukegan, IL 60085-4980
Ph: (855) 990-1900 |
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