Angelique Bautista Gabat, FNP-C | |
2300 N Edward St Ste 2400, Decatur, IL 62526-4163 | |
(217) 876-2400 | |
(217) 876-2405 |
Full Name | Angelique Bautista Gabat |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
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 |
---|---|---|---|
1003514985 | NPI | - | NPPES |
309020258 | Other | IL | CS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209026819 (Illinois) | Primary |
Entity Name | Decatur Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164477725 PECOS PAC ID: 6204731144 Enrollment ID: O20031203000685 |
Entity Name | Work & Pillay Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013551472 PECOS PAC ID: 7012333404 Enrollment ID: O20200817000447 |
Entity Name | Bespoke Psychiatry |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952937104 PECOS PAC ID: 3274951744 Enrollment ID: O20200915002352 |
Mailing Address | Practice Location Address |
---|---|
Angelique Bautista Gabat, FNP-C 2300 N Edward St Ste 2400, Decatur, IL 62526-4163 Ph: (217) 876-2400 | Angelique Bautista Gabat, FNP-C 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 | |
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 |