Mrs Mary B O'meara, FNP - Medicare Nurse Practitioner in Rockford, IL

Mrs Mary B O'meara, FNP is a medicare enrolled "Nurse Practitioner - Family" in Rockford, Illinois. Her current practice location is 1235 N Mulford Rd Ste 210, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 484-6300.

Mrs Mary B O'meara is licensed to practice in Illinois (license number 277.002260) 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 1033675087.

Contact Information

Mrs Mary B O'meara, FNP
1235 N Mulford Rd Ste 210,
Rockford, IL 61107-3879
(815) 484-6300
(815) 395-2021



Provider's Profile

Full NameMrs Mary B O'meara
GenderFemale
SpecialityNurse Practitioner - Family
Location1235 N Mulford Rd Ste 210, Rockford, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033675087
  • Provider Enumeration Date: 02/14/2019
  • Last Update Date: 02/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6406215243
  • Enrollment ID: I20230711002870

Medical Identifiers

Medical identifiers for Mrs Mary B O'meara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033675087NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.018733 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 277.002260 (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. Mrs Mary B O'meara 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. Mrs Mary B O'meara 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
Mrs Mary B O'meara, FNP
Po Box 5287,
Rockford, IL 61125-0287

Ph: (815) 484-6300
Mrs Mary B O'meara, FNP
1235 N Mulford Rd Ste 210,
Rockford, IL 61107-3879

Ph: (815) 484-6300

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Nurse Practitioner Nurses in Rockford, IL

Misty Lynn Dehaven, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107
Phone: 815-395-1500    Fax: 815-395-1415
Candice Vicencio, DNP, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4215 Newburg Rd, Rockford, IL 61108
Phone: 815-988-8500    Fax: 815-977-5956
Caryn Ann Ruzic, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1200 W State St, Rockford, IL 61102
Phone: 815-490-1600    Fax: 815-490-1881
Tyler James Rafferty, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5666 E State St, Rockford, IL 61108
Phone: 815-226-2000    
Angela Giardono, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5666 E State St, Rockford, IL 61108
Phone: 815-226-2000    
Melissa L. Inman, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 461 N Mulford Rd Ste 3, Rockford, IL 61107
Phone: 815-227-9594    Fax: 815-227-9574
Michelle L Bennett, APRN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 3505 N Bell School Rd, Rockford, IL 61114
Phone: 779-696-0300    Fax: 815-639-9433

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