Amy Jo Fugate, AGPCNP | |
1000 Palm Ave, Mattoon, IL 61938-6031 | |
(888) 365-6271 | |
Not Available |
Full Name | Amy Jo Fugate |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 1000 Palm Ave, Mattoon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962020560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 209021558 (Illinois) | Primary |
Entity Name | Ameriwound Physicians Il Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104245893 PECOS PAC ID: 2860616299 Enrollment ID: O20140605000079 |
Entity Name | Med Management Indiana Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225519333 PECOS PAC ID: 5698027266 Enrollment ID: O20190923001268 |
Mailing Address | Practice Location Address |
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Amy Jo Fugate, AGPCNP 15730 N State Highway 130, Newton, IL 62448-3273 Ph: (217) 663-5414 | Amy Jo Fugate, AGPCNP 1000 Palm Ave, Mattoon, IL 61938-6031 Ph: (888) 365-6271 |
Diana L. Oakley, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Health Center Dr Ste 104, Mattoon, IL 61938 Phone: 217-258-2178 Fax: 217-258-4024 | |
Penelope Shields, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 102, Mattoon, IL 61938 Phone: 217-258-4042 Fax: 217-258-4053 | |
Emily N Hardiek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2512 Hurst Dr Ste 130, Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-3686 | |
Robert C Atchley, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2551 | |
Loring Barr, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 | |
Mrs. Stacey Tebbe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Coles Centre Dr, Mattoon, IL 61938 Phone: 217-234-5110 | |
Tonya Sue White, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Lake Land Blvd, Mattoon, IL 61938 Phone: 217-258-3370 |