Katelyn Jule Klosterman, | |
1303 W Evergreen Ave Ste 202, Effingham, IL 62401-1638 | |
(217) 238-4634 | |
(217) 342-3402 |
Full Name | Katelyn Jule Klosterman |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 6 Years |
Location | 1303 W Evergreen Ave Ste 202, Effingham, 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 |
---|---|---|---|
1003312422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01085288A (Indiana) | Secondary |
207Q00000X | Family Medicine | 036.165254 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
St Anthonys Memorial Hospital | Effingham, 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 |
---|---|
Katelyn Jule Klosterman, Po Box 372, Mattoon, IL 61938-0372 Ph: () - | Katelyn Jule Klosterman, 1303 W Evergreen Ave Ste 202, Effingham, IL 62401-1638 Ph: (217) 238-4634 |
Dominic Charles Imburgia, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 N Maple St, Effingham, IL 62401 Phone: 217-347-2900 Fax: 217-347-2922 | |
Fred Richardson Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 904 Medical Park Dr, Suite 3, Effingham, IL 62401 Phone: 217-540-2350 Fax: 217-347-2323 | |
Jeffrey Brummer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1106 N Merchant St, Effingham, IL 62401 Phone: 217-342-7000 | |
Hope E Knauer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 N Maple St, Effingham, IL 62401 Phone: 217-342-4151 Fax: 217-347-8955 | |
Dr. Sean F. Flynn, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 N Maple St Ste E, Effingham, IL 62401 Phone: 217-347-7030 Fax: 217-347-7197 | |
Dr. Shantha Matthew Monippallil, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1901 S 4th St, Same, Effingham, IL 62401 Phone: 217-347-7600 |