Keri Jane Mullins, APRN-BC | |
1366 E 1050th Ave, Oblong, IL 62449-2409 | |
(618) 592-3119 | |
(618) 546-2602 |
Full Name | Keri Jane Mullins |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 17 Years |
Location | 1366 E 1050th Ave, Oblong, 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 |
---|---|---|---|
1710143367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209007177 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Crawford Memorial Hospital | Robinson, IL | Hospital |
Good Samaritan Hospital | Vincennes, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Crawford Hospital District | 7719898071 | 54 |
Entity Name | Crawford Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861423287 PECOS PAC ID: 7719898071 Enrollment ID: O20040205000950 |
Mailing Address | Practice Location Address |
---|---|
Keri Jane Mullins, APRN-BC 1366 E 1050th Ave, Oblong, IL 62449-2409 Ph: (618) 592-3119 | Keri Jane Mullins, APRN-BC 1366 E 1050th Ave, Oblong, IL 62449-2409 Ph: (618) 592-3119 |
Holly E Harmon, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1366 E 1050th Ave, Oblong, IL 62449 Phone: 618-592-3119 Fax: 618-546-2602 | |
Mrs. Gaynell Sue Ladislas, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 N Garfield St, Oblong, IL 62449 Phone: 618-592-3119 Fax: 618-592-3875 |