Dr Nicole Y Ottens, DO | |
1000 Health Center Dr, Mattoon, IL 61938-9261 | |
(217) 258-2551 | |
(217) 258-2256 |
Full Name | Dr Nicole Y Ottens |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 19 Years |
Location | 1000 Health Center Dr, Mattoon, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750531638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 02003351A (Indiana) | Secondary |
207P00000X | Emergency Medicine | 036-126162 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sarah Bush Lincoln Health Center | 5092614867 | 327 |
Entity Name | Sarah Bush Lincoln Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
Mailing Address | Practice Location Address |
---|---|
Dr Nicole Y Ottens, DO 1005 Health Center Dr Ste 201, Mattoon, IL 61938-4693 Ph: (217) 238-6055 | Dr Nicole Y Ottens, DO 1000 Health Center Dr, Mattoon, IL 61938-9261 Ph: (217) 258-2551 |
Joseph Burton, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2551 | |
Dwight Pentzien, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2551 Fax: 217-258-2256 | |
Aja Lystila, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2512 Hurst Dr., Family Medicine, Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-5904 | |
Daniel Bommelje, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2551 Fax: 217-258-2256 | |
Dionte Wiggins, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2551 Fax: 217-258-2256 | |
Lori Luther, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2551 Fax: 217-258-2256 | |
Shane Cline, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2551 |