Jill C Obrien, ANP-BC | |
102 S Hennepin Ave, Dixon, IL 61021-3013 | |
(815) 285-8520 | |
(815) 285-8903 |
Full Name | Jill C Obrien |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 22 Years |
Location | 102 S Hennepin Ave, Dixon, 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 |
---|---|---|---|
1295908259 | NPI | - | NPPES |
F400458270 | Other | IL | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209-004480 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Katherine Shaw Bethea Hospital | Dixon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ksb Medical Group Inc | 7911890009 | 74 |
Entity Name | Ksb Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
Mailing Address | Practice Location Address |
---|---|
Jill C Obrien, ANP-BC 405 Charles St, Mount Morris, IL 61054-1646 Ph: (815) 734-6061 | Jill C Obrien, ANP-BC 102 S Hennepin Ave, Dixon, IL 61021-3013 Ph: (815) 285-8520 |
Christina Iyer, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 629 N Galena Ave, Dixon, IL 61021 Phone: 815-288-1235 Fax: 815-288-0034 | |
Ms. Janet I. Malmberg, APN, RNC, WHNP. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 309 South Galena Ave, Suite 100, Dixon, IL 61021 Phone: 815-284-3371 Fax: 815-288-1811 | |
Valarie Pfoutz, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-288-5531 | |
Audra Danielle Washo, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-284-5710 Fax: 815-285-5893 | |
Kristina Kay Mershon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2600 N Brinton Ave, Dixon, IL 61021 Phone: 815-288-5561 | |
Jacqueline D Keck, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 841 N Galena Ave, Suite 200, Dixon, IL 61021 Phone: 815-285-2273 Fax: 815-285-2276 |