Alexis Renee Graven, | |
2300 N Edward St Ste 2400, Decatur, IL 62526-4163 | |
(217) 876-2400 | |
Not Available |
Full Name | Alexis Renee Graven |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2300 N Edward St Ste 2400, Decatur, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346753738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209016875 (Illinois) | Primary |
Entity Name | Vitae Health Of Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
Entity Name | Stephens Neuropathy & Pain Solutions Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912652835 PECOS PAC ID: 0143609370 Enrollment ID: O20220618000287 |
Mailing Address | Practice Location Address |
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Alexis Renee Graven, 2300 N Edward St Ste 2400, Decatur, IL 62526-4163 Ph: () - | Alexis Renee Graven, 2300 N Edward St Ste 2400, Decatur, IL 62526-4163 Ph: (217) 876-2400 |
Mr. Jason Grauer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121 | |
Angelique Bautista Gabat, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2300 N Edward St Ste 2400, Decatur, IL 62526 Phone: 217-876-2400 Fax: 217-876-2405 | |
Christine M Meeker, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2126 | |
Nicole Marie Lord, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1770 E Lake Shore Dr, #309, Decatur, IL 62521 Phone: 217-422-9740 | |
Matya Leann Riley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 Fax: 217-362-6290 | |
Mr. Aaron Todd Bell, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St Ste 2400, Decatur, IL 62526 Phone: 217-876-2400 Fax: 217-876-2405 | |
Kimberly A Kish, APN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2880 N Monroe St, Decatur, IL 62526 Phone: 217-330-8939 Fax: 217-330-9063 |