Kourtney Benson, FNP-C | |
102 Trim Masters Drive, Lawrenceville, IL 62439 | |
(618) 943-7900 | |
(618) 943-7901 |
Full Name | Kourtney Benson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 102 Trim Masters Drive, Lawrenceville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265131031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71013626A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209.027097 (Illinois) | Primary |
Entity Name | Midwest Emergency Medicine Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801383278 PECOS PAC ID: 1052666575 Enrollment ID: O20180623000098 |
Mailing Address | Practice Location Address |
---|---|
Kourtney Benson, FNP-C 15930 Arizona Rd, Lawrenceville, IL 62439-4700 Ph: (618) 928-4531 | Kourtney Benson, FNP-C 102 Trim Masters Drive, Lawrenceville, IL 62439 Ph: (618) 943-7900 |
Danielle Deisher, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2101 James St, Lawrenceville, IL 62439 Phone: 618-943-3302 Fax: 618-943-6409 | |
Reiley Eryn Michels, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2111 Lexington Ave, Lawrenceville, IL 62439 Phone: 618-943-7214 | |
Michelle Macey Thacker, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2111 Lexington Ave, Lawrenceville, IL 62439 Phone: 618-943-7214 | |
Tracy R Ramsey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2111 Lexington Ave, Lawrenceville, IL 62439 Phone: 618-942-7214 | |
Emma Ray Engel, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11741 Sizemore Ln, Lawrenceville, IL 62439 Phone: 812-881-5468 | |
Mrs. Tanna Lynn Mccullough, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2111 Lexington Ave, Lawrenceville, IL 62439 Phone: 618-943-7216 Fax: 618-943-7219 |