Chantelle Evonne Peterson, APN | |
1007 Nw 3rd St, Aledo, IL 61231-1317 | |
(309) 582-9450 | |
Not Available |
Full Name | Chantelle Evonne Peterson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1007 Nw 3rd St, Aledo, 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 |
---|---|---|---|
1336655828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209.016999 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Genesis Medical Center-davenport | Davenport, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Genesis Health System | 6103829338 | 186 |
Forefront Telecare Inc | 9638319114 | 34 |
Entity Name | Forefront Telecare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174035612 PECOS PAC ID: 9638319114 Enrollment ID: O20190821004732 |
Entity Name | Genesis Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528616901 PECOS PAC ID: 6103829338 Enrollment ID: O20191031002622 |
Entity Name | Evizzit Of Iowa Psychiatry Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740841188 PECOS PAC ID: 2860825924 Enrollment ID: O20191203001330 |
Mailing Address | Practice Location Address |
---|---|
Chantelle Evonne Peterson, APN 13616 137th Ave W, Taylor Ridge, IL 61284-9710 Ph: (309) 912-6008 | Chantelle Evonne Peterson, APN 1007 Nw 3rd St, Aledo, IL 61231-1317 Ph: (309) 582-9450 |
Mrs. Lindsay Marie Chick, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 Nw 3rd St, Aledo, IL 61231 Phone: 309-582-9450 | |
Jesse George Korns, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 Nw 3rd St, Aledo, IL 61231 Phone: 309-582-9450 | |
Morgan L Ryan, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 Nw 3rd St, Aledo, IL 61231 Phone: 563-355-9200 Fax: 563-355-3419 | |
Megan Nache, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 Nw 3rd St, Aledo, IL 61231 Phone: 309-582-3789 Fax: 309-582-3735 | |
Amy L Feist, A.P.N Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 Nw 3rd St, Aledo, IL 61231 Phone: 309-309-5829 Fax: 309-582-9479 |