Kimberly J Bankston, ANP | |
385 S Orange St, El Paso, IL 61738-1613 | |
(309) 527-4900 | |
(309) 527-3525 |
Full Name | Kimberly J Bankston |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 25 Years |
Location | 385 S Orange St, El Paso, 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 |
---|---|---|---|
1962428003 | NPI | - | NPPES |
5720935 | Other | BLUE CROSS BLUE SHIELD | |
10220308 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 20900121 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Dupage Hospital | Winfield, IL | Hospital |
Advocate Bromenn Medical Center | Normal, IL | Hospital |
St Joseph Medical Center | Bloomington, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bloomington Primary Care, Ltd. | 9436342375 | 8 |
Entity Name | Bloomington Primary Care, Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689991929 PECOS PAC ID: 9436342375 Enrollment ID: O20101022001158 |
Mailing Address | Practice Location Address |
---|---|
Kimberly J Bankston, ANP Po Box 2451, Bloomington, IL 61702-2451 Ph: (309) 268-2172 | Kimberly J Bankston, ANP 385 S Orange St, El Paso, IL 61738-1613 Ph: (309) 527-4900 |
Jean-marie Tyner, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 385 S Orange St, El Paso, IL 61738 Phone: 309-527-4900 Fax: 309-527-3525 | |
Mrs. Courtney Lee Button, ANP-C FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Delaney Dr, El Paso, IL 61738 Phone: 309-527-2260 | |
Mrs. Debra Lea Fischer, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 385 S. Orange Street, Advocate Medical Group, El Paso, IL 61738 Phone: 309-527-4900 Fax: 309-527-3525 |