Kevin Spangler, APN | |
1120 E War Memorial Dr, Peoria Heights, IL 61616 | |
(309) 685-4411 | |
Not Available |
Full Name | Kevin Spangler |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 1120 E War Memorial Dr, Peoria Heights, 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 |
---|---|---|---|
1659790350 | NPI | - | NPPES |
209017904 | Other | IL | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209017904 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Francis Medical Center | Peoria, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1552 |
Entity Name | Pekin Prohealth Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932150299 PECOS PAC ID: 1951214576 Enrollment ID: O20031110000647 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
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 |
Entity Name | Belcrest Services Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245275312 PECOS PAC ID: 9335037217 Enrollment ID: O20040310001103 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184670663 PECOS PAC ID: 1355259714 Enrollment ID: O20040315000196 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Kevin Spangler, APN 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 Ph: (309) 685-4411 | Kevin Spangler, APN 1120 E War Memorial Dr, Peoria Heights, IL 61616 Ph: (309) 685-4411 |
Lisa Friebohle, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 E War Memorial Dr, Peoria Heights, IL 61616 Phone: 309-685-4411 Fax: 309-685-3648 |