Kelly Andrea Martin, APRN-C | |
50 Northgate Industrial Dr, Granite City, IL 62040-6805 | |
(618) 877-4420 | |
Not Available |
Full Name | Kelly Andrea Martin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 50 Northgate Industrial Dr, Granite City, Illinois |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619123353 | NPI | - | NPPES |
041273311 | Other | IL | REGISTERED NURSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 041273311 (Illinois) | Primary |
363LF0000X | Nurse Practitioner - Family | 377.003351 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Anderson Hospital | Maryville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anderson Medical Group Llc | 5193792018 | 122 |
Entity Name | Anderson Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700807716 PECOS PAC ID: 5193792018 Enrollment ID: O20040910001137 |
Mailing Address | Practice Location Address |
---|---|
Kelly Andrea Martin, APRN-C 1632 Old Fosterburg Rd, Alton, IL 62002-8840 Ph: (618) 616-3672 | Kelly Andrea Martin, APRN-C 50 Northgate Industrial Dr, Granite City, IL 62040-6805 Ph: (618) 877-4420 |
Kierstin Hancock, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 54 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420 | |
Stephanie King, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3732 Nameoki Rd, Granite City, IL 62040 Phone: 314-687-2735 | |
Mrs. Amanda Hemphill, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2120 Madison Ave, Suite 404, Granite City, IL 62040 Phone: 618-876-7515 | |
Diane M Schwind, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2044 Madison Ave, Suite 15, Granite City, IL 62040 Phone: 618-451-1500 | |
Mary Brooks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3000 | |
Dr. Jaime Ann Campbell, DNP, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-512-1919 Fax: 618-512-1920 | |
Julienne Carol Szlufik, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420 |