Carlene Porter, APN | |
4405 Weaver Pkwy, Warrenville, IL 60555-3269 | |
(630) 352-5300 | |
(630) 352-5499 |
Full Name | Carlene Porter |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 28 Years |
Location | 4405 Weaver Pkwy, Warrenville, 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 |
---|---|---|---|
1003877630 | NPI | - | NPPES |
206147104 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
CA4748 | Other | IL | RAILROAD MEDICARE PTAN (GROUP) |
206147 | Other | IL | MEDICARE PTAN (GROUP) |
P01090259 | Other | IL | RAILROAD MEDICARE PTAN (INDIVIDUAL) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209-001548 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Dupage Hospital | Winfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
---|---|
Carlene Porter, APN 4405 Weaver Pkwy, Warrenville, IL 60555-3269 Ph: (630) 352-5300 | Carlene Porter, APN 4405 Weaver Pkwy, Warrenville, IL 60555-3269 Ph: (630) 352-5300 |
Laura Minarich, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 28201 Diehl Rd, Warrenville, IL 60555 Phone: 360-657-5555 | |
Carrie A Feid, APN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-352-5450 Fax: 630-352-5320 | |
Mrs. Erica Souders, FNP-BC, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28201 Diehl Rd, Warrenville, IL 60555 Phone: 708-427-5765 | |
Mr. Robert Dennis Stalley, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-938-8850 Fax: 630-938-8849 | |
Mary Kay Larson, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-352-5450 Fax: 630-352-5499 | |
Jacqueline Rose Schmidt, MSN, APN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-352-5450 Fax: 630-352-5499 |