Jonathan Rider, NP | |
600 S 13th St, Suite E, Pekin, IL 61554-4936 | |
(309) 353-9709 | |
(309) 353-0929 |
Full Name | Jonathan Rider |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 600 S 13th St, Pekin, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437526852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 209013212 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
Pekin Memorial Hospital | Pekin, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Proctor Health Systems | 3476440173 | 124 |
Entity Name | Pekin Prohealth Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932150299 PECOS PAC ID: 1951214576 Enrollment ID: O20031110000647 |
Entity Name | Proctor Health Systems |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Rider, NP 600 S 13th St, Suite E, Pekin, IL 61554-4936 Ph: (309) 353-9709 | Jonathan Rider, NP 600 S 13th St, Suite E, Pekin, IL 61554-4936 Ph: (309) 353-9709 |
Emily Crebo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Park Ave, Pekin, IL 61554 Phone: 309-346-7776 | |
Kayla Ferman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3591 Griffin Ave, Pekin, IL 61554 Phone: 309-353-1822 | |
Madeline Jo Gresham, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19 Olt Ave, Pekin, IL 61554 Phone: 309-680-7600 Fax: 309-353-3334 | |
Jami Michelle Wallace, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3591 Griffin Ave, Pekin, IL 61554 Phone: 309-353-6301 | |
Shauna L Bivens, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Griffin Ave., Pekin, IL 61554 Phone: 309-347-4277 Fax: 309-347-4388 | |
Theresa Abbadusky, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Broadway St, Pekin, IL 61554 Phone: 309-346-3416 | |
Bridget Lynn Welker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 Broadway St, Pekin, IL 61554 Phone: 309-346-3416 |