Matthew Welch, | |
2500 W Reynolds St, Pontiac, IL 61764-9784 | |
(815) 844-4062 | |
Not Available |
Full Name | Matthew Welch |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 2500 W Reynolds St, Pontiac, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811676828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209027799 (Illinois) | Primary |
Entity Name | Saint James Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790735421 PECOS PAC ID: 0648187252 Enrollment ID: O20040804001073 |
Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Matthew Welch, 900 W Pine St, Chillicothe, IL 61523-1415 Ph: (309) 678-2364 | Matthew Welch, 2500 W Reynolds St, Pontiac, IL 61764-9784 Ph: (815) 844-4062 |
Mrs. Deborah L Nielsen, R.N. A.P.N Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-5343 Fax: 815-844-5715 | |
Cheryle Diana Strother, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 N Plum St, Pontiac, IL 61764 Phone: 815-844-4631 Fax: 815-844-1942 | |
Nancy White, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-5115 Fax: 815-842-2152 | |
Andrea Mclean, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St # 205, Pontiac, IL 61764 Phone: 815-842-4501 | |
Briana Flori, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-942-5790 | |
Mary Krall, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-3633 Fax: 815-844-6309 | |
Andrew John Farraher, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, 208, Pontiac, IL 61764 Phone: 815-844-2001 |