Mark Norbert Preciado Guiab, FPA, PMHNP-BC, FNP-C | |
4215 Newburg Rd, Rockford, IL 61108-6479 | |
(815) 988-8500 | |
(815) 977-5956 |
Full Name | Mark Norbert Preciado Guiab |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 4215 Newburg Rd, Rockford, 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 |
---|---|---|---|
1346770914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209016243 (Illinois) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277001928 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
In Home Medical Group Llc | 3779612395 | 50 |
Wise Health Professional Corporation | 4789743436 | 7 |
Entity Name | Wise Health Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891969903 PECOS PAC ID: 4789743436 Enrollment ID: O20081110000517 |
Entity Name | In Home Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497087175 PECOS PAC ID: 3779612395 Enrollment ID: O20100520000116 |
Entity Name | Archos Wound Specialists Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497460489 PECOS PAC ID: 2668832049 Enrollment ID: O20230717002848 |
Entity Name | Livindi Medical Group Illinois Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457038994 PECOS PAC ID: 5092178616 Enrollment ID: O20230830002290 |
Mailing Address | Practice Location Address |
---|---|
Mark Norbert Preciado Guiab, FPA, PMHNP-BC, FNP-C 4215 Newburg Rd, Rockford, IL 61108-6479 Ph: (815) 988-8500 | Mark Norbert Preciado Guiab, FPA, PMHNP-BC, FNP-C 4215 Newburg Rd, Rockford, IL 61108-6479 Ph: (815) 988-8500 |
Misty Lynn Dehaven, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107 Phone: 815-395-1500 Fax: 815-395-1415 | |
Candice Vicencio, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4215 Newburg Rd, Rockford, IL 61108 Phone: 815-988-8500 Fax: 815-977-5956 | |
Caryn Ann Ruzic, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Tyler James Rafferty, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Angela Giardono, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Melissa L. Inman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 461 N Mulford Rd Ste 3, Rockford, IL 61107 Phone: 815-227-9594 Fax: 815-227-9574 | |
Michelle L Bennett, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3505 N Bell School Rd, Rockford, IL 61114 Phone: 779-696-0300 Fax: 815-639-9433 |