Leslie M Carmack, APN - Medicare Nurse Practitioner in Bloomington, IL

Leslie M Carmack, APN is a medicare enrolled "Nurse Practitioner" in Bloomington, Illinois. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Osf Multi-specialty Group and her current practice location is 1701 E College Ave, Bloomington, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 664-3800.

Leslie M Carmack is licensed to practice in Illinois (license number 209-007212) 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 1073760716.

Contact Information

Leslie M Carmack, APN
1701 E College Ave,
Bloomington, IL 61704-2101
(309) 664-3800
(309) 664-3461



Provider's Profile

Full NameLeslie M Carmack
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location1701 E College Ave, Bloomington, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Leslie M Carmack graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1073760716
  • Provider Enumeration Date: 08/25/2008
  • Last Update Date: 10/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3971658881
  • Enrollment ID: I20090828000229

Medical Identifiers

Medical identifiers for Leslie M Carmack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073760716NPI-NPPES
IL2613OtherILMEDICARE GROUP PTAN
IL2613053OtherILINDIVIDUAL MEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209-007212 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph Medical CenterBloomington, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osf Multi-specialty Group36788897891543

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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. Leslie M Carmack allows following entities to bill medicare on her behalf.
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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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. Leslie M Carmack 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
Leslie M Carmack, APN
1701 E College Ave,
Bloomington, IL 61704-2101

Ph: (309) 664-3800
Leslie M Carmack, APN
1701 E College Ave,
Bloomington, IL 61704-2101

Ph: (309) 664-3800

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Nurse Practitioner Nurses in Bloomington, IL

Theresa Kauth,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 108 W Market St, Bloomington, IL 61701
Phone: 309-827-5351    Fax: 309-829-6808
Cheryl Hansen, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3024 E Empire St, Bloomington, IL 61704
Phone: 309-454-4411    
Carey Harris,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1701 E College Ave, Bloomington, IL 61704
Phone: 309-664-3000    Fax: 309-664-3026
Elizabeth Jeanne Robert, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3024 E Empire St Ste A, Bloomington, IL 61704
Phone: 309-556-7800    Fax: 309-556-7804
Ms. Linda Kay Wall, A.P.N.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 318 W Washington St, 3rd Floor, Bloomington, IL 61701
Phone: 309-827-4014    Fax: 309-828-6626
Amy O'brien, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1401 Eastland Dr, Bloomington, IL 61701
Phone: 309-661-3360    Fax: 309-661-3390
Mrs. Sonal Mukesh Patel, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1701 E College Ave, Bloomington, IL 61704
Phone: 309-664-3800    

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