Lisa Moment, | |
1701 Curtis Rd, Champaign, IL 61822-9678 | |
(217) 365-6201 | |
(217) 326-4003 |
Full Name | Lisa Moment |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 1701 Curtis Rd, Champaign, 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 |
---|---|---|---|
1205250859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.011117 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Carle Foundation Hospital | Urbana, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ameriwound Physicians Il Llc | 2860616299 | 8 |
Carle Health Care Incorporated | 3577515774 | 799 |
Entity Name | Illinois-indiana Em-i Medical Services S C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457503591 PECOS PAC ID: 3678487246 Enrollment ID: O20040326001003 |
Entity Name | Carle Health Care Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Entity Name | Ameriwound Physicians Il Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104245893 PECOS PAC ID: 2860616299 Enrollment ID: O20140605000079 |
Entity Name | Gaps Health Il, S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427655240 PECOS PAC ID: 8022429646 Enrollment ID: O20201202002174 |
Mailing Address | Practice Location Address |
---|---|
Lisa Moment, 611 W Park St, Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6941 | Lisa Moment, 1701 Curtis Rd, Champaign, IL 61822-9678 Ph: (217) 365-6201 |
Emily Stephenson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-6207 Fax: 217-365-6380 | |
Mrs. Tiffany Ann Rushing, APN, FNP-BC, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1802 S Mattis Ave, Champaign, IL 61821 Phone: 217-365-2855 Fax: 217-365-2856 | |
Maddison P. Draper, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2718 N Prospect Ave, Champaign, IL 61822 Phone: 217-337-3852 Fax: 217-337-3853 | |
Jessica Lynn Mandrell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 819 Bloomington Rd, Champaign, IL 61820 Phone: 217-356-1558 | |
Ms. Greta Obereiner, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1801 Windsor Rd, Champaign, IL 61822 Phone: 217-366-8130 Fax: 217-366-6106 | |
Alger Penas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 S 1st St, Champaign, IL 61820 Phone: 217-383-9400 Fax: 217-383-9691 | |
Miss Abigayl Frields, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1813 W Kirby Ave Ste 120, Champaign, IL 61821 Phone: 217-383-3131 |