Amanda Louise Gross, FNP | |
7725 N Knoxville Ave, Peoria, IL 61614-2079 | |
(309) 495-0240 | |
Not Available |
Full Name | Amanda Louise Gross |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 7725 N Knoxville Ave, Peoria, 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 |
---|---|---|---|
1184385189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209.024570 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Graham Hospital Association | Canton, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Post Acute Medical Pllc | 5193156115 | 106 |
Entity Name | Illinois Surgical Specialists, Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215170246 PECOS PAC ID: 6103256334 Enrollment ID: O20200430000988 |
Entity Name | Post Acute Medical Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730713025 PECOS PAC ID: 5193156115 Enrollment ID: O20240124001161 |
Entity Name | Altea Medical Illinois Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447039227 PECOS PAC ID: 5799129730 Enrollment ID: O20240219001371 |
Mailing Address | Practice Location Address |
---|---|
Amanda Louise Gross, FNP 7725 N Knoxville Ave, Peoria, IL 61614-2079 Ph: (309) 495-0240 | Amanda Louise Gross, FNP 7725 N Knoxville Ave, Peoria, IL 61614-2079 Ph: (309) 495-0240 |
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