Katelyn Nelson, FNP | |
2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | |
(618) 242-4000 | |
Not Available |
Full Name | Katelyn Nelson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2 Good Samaritan Way Ste 420, Mount Vernon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669154670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041.436332 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209.028163 (Illinois) | Primary |
Entity Name | Physician Services Corporation Of Southern Illinois Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
Mailing Address | Practice Location Address |
---|---|
Katelyn Nelson, FNP 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 Ph: (815) 953-1160 | Katelyn Nelson, FNP 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 Ph: (618) 242-4000 |
Amanda Engele, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5100 Lake Ter Ne Ste Wc, Mount Vernon, IL 62864 Phone: 618-899-5001 | |
Leslie Wright, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4101 N Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-244-6222 | |
Fariahh Fazil, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864 Phone: 618-899-3980 | |
Nancy K Kertz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864 Phone: 618-242-4848 Fax: 618-242-4198 | |
Natalie Amason, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4107 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-244-0031 Fax: 618-244-0056 | |
Melanie Cross, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-3778 Fax: 618-242-2551 | |
Abbey Gettinger, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4200 Williamson Pl Ste 1a, Mount Vernon, IL 62864 Phone: 618-899-9200 Fax: 618-899-9206 |