Melissa Strom, APRN | |
128 Bucklin St, La Salle, IL 61301-2389 | |
(815) 220-7170 | |
Not Available |
Full Name | Melissa Strom |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 128 Bucklin St, La Salle, 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 |
---|---|---|---|
1306219209 | NPI | - | NPPES |
362852553 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1484 |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
Mailing Address | Practice Location Address |
---|---|
Melissa Strom, APRN 1230 7th Ave, Longview, WA 98632-3166 Ph: (360) 636-2400 | Melissa Strom, APRN 128 Bucklin St, La Salle, IL 61301-2389 Ph: (815) 220-7170 |
Mrs. Jennifer Leeann Olesen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 917 1st St, La Salle, IL 61301 Phone: 815-780-2525 Fax: 949-655-5957 | |
Ms. Juliann Kersten, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2970 Chartres St, La Salle, IL 61301 Phone: 814-223-9678 | |
Jamie Bond, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2970 Chartres St, La Salle, IL 61301 Phone: 815-223-0196 Fax: 815-780-4673 | |
Maryfrances Crist, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2970 Chartres St, La Salle, IL 61301 Phone: 815-223-0196 Fax: 815-223-0358 | |
Mrs. Mary Therese Petrella, ND MS RN FNP BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2970 Chartres, Hygienic Institute Community Health Clinic, La Salle, IL 61301 Phone: 815-223-0196 Fax: 815-223-0358 |