Krista Kay Puckett, APN | |
2701 Patriot Blvd, Glenview, IL 60026-8039 | |
(847) 475-2273 | |
Not Available |
Full Name | Krista Kay Puckett |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 2701 Patriot Blvd, Glenview, 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 |
---|---|---|---|
1104318666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.017748 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwestern Memorial Hospital | Chicago, IL | Hospital |
Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
---|---|
Krista Kay Puckett, APN 424 S Yale Ave, Villa Park, IL 60181-2868 Ph: (815) 871-7897 | Krista Kay Puckett, APN 2701 Patriot Blvd, Glenview, IL 60026-8039 Ph: (847) 475-2273 |
Christian Charvet, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2701 Patriot Blvd, Glenview, IL 60026 Phone: 847-535-7157 Fax: 847-998-9221 | |
Ms. Barbara Anne Weintraub, RN, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 646 Naples Ct, Glenview, IL 60025 Phone: 847-699-2980 | |
Robin Shinall, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 Ravine Way Ste 302, Glenview, IL 60025 Phone: 847-998-3434 | |
Teresa Trussell, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2050 Claire Ct, Glenview, IL 60025 Phone: 847-467-7423 Fax: 847-556-1715 | |
Pinal Patel, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4712 Laurel Ave, Glenview, IL 60025 Phone: 847-786-8336 | |
Katherine E. Muniz, APN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2150 Pfingsten Rd Ste 1200, Glenview, IL 60026 Phone: 847-663-8410 | |
Mary Jeane Jeane Velez, APN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2150 Pfingsten Rd, Glenview, IL 60026 Phone: 847-657-1819 |