Mrs Mary Ellen Allen, APN | |
222 N Sangamon Ave, Gibson City, IL 60936 | |
(217) 748-8148 | |
(217) 784-8160 |
Full Name | Mrs Mary Ellen Allen |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 222 N Sangamon Ave, Gibson City, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114931623 | NPI | - | NPPES |
362658552001 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 209001628 (Illinois) | Primary |
Entity Name | Gibson Community Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20040505001293 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mary Ellen Allen, APN 1120 N Melvin St, Gibson City, IL 60936-1477 Ph: (217) 784-4251 | Mrs Mary Ellen Allen, APN 222 N Sangamon Ave, Gibson City, IL 60936 Ph: (217) 748-8148 |
Chelsey Luke, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Doctors Park, Gibson City, IL 60936 Phone: 217-784-5500 Fax: 217-784-4106 | |
Mark M Spangler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Doctors Park, Gibson City, IL 60936 Phone: 217-784-4030 Fax: 217-784-4405 | |
Mr. Amnuay Sethakorn, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4 Doctors Park, Gibson City, IL 60936 Phone: 217-784-8919 | |
Dr. Katherine M Austman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Doctors Park, Gibson City, IL 60936 Phone: 217-784-5500 | |
Dr. David John Hagan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 N Sangamon Ave, Gibson City, IL 60936 Phone: 217-784-8148 Fax: 217-784-8160 | |
Darrin Ray, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 W 19th St, Gibson City, IL 60936 Phone: 815-566-9915 Fax: 888-661-3051 |