Beth Mathews, APN | |
1504 Patton Dr, Unit 2, Mahomet, IL 61853-8126 | |
(217) 784-2633 | |
(217) 590-0272 |
Full Name | Beth Mathews |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 27 Years |
Location | 1504 Patton Dr, Mahomet, 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 |
---|---|---|---|
1326157595 | NPI | - | NPPES |
041-177521 | Other | IL | ILL. RN LICENSE# |
F400299982 | Other | IL | MEDICARE PTAN |
209000456 | Other | IL | ILL. APN LICENSE |
30227022 | Other | IL | ANCC CREDENTIAL # |
5711821 | Other | IL | FIRST HEALTH/COVENTRY |
S67258 | Other | IL | MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209000456 (Illinois) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 209000456 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Bromenn Medical Center | Normal, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
In Home Medical Group Llc | 3779612395 | 50 |
Entity Name | In Home Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497087175 PECOS PAC ID: 3779612395 Enrollment ID: O20100520000116 |
Mailing Address | Practice Location Address |
---|---|
Beth Mathews, APN 1504 Patton Dr, Unit 2, Mahomet, IL 61853-8126 Ph: (217) 784-2633 | Beth Mathews, APN 1504 Patton Dr, Unit 2, Mahomet, IL 61853-8126 Ph: (217) 784-2633 |
Casie Danielle Mcclellan, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1504 Patton Dr, Mahomet, IL 61853 Phone: 217-586-2633 Fax: 217-590-0272 | |
Mrs. Helena Diane Longfellow, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1504 Patton Dr, Mahomet, IL 61853 Phone: 217-586-2633 Fax: 217-590-0272 | |
Megan Kathleen Ramirez, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1204 E Oak St. Bldg 2 Suite 2, Mahomet, IL 61853 Phone: 217-530-5608 Fax: 309-981-8714 | |
Mr. Daniel Thomas Foutch, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1204 E Oak St Ste 2-2, Mahomet, IL 61853 Phone: 217-530-5608 Fax: 309-981-8714 | |
Meldomi Asabea Asante, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1506 Amy Dr, Mahomet, IL 61853 Phone: 301-651-0193 |