Michelle Kethcart, APN | |
2160 S 1st Ave, Maywood, IL 60153-3328 | |
(708) 216-9000 | |
Not Available |
Full Name | Michelle Kethcart |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 2160 S 1st Ave, Maywood, 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 |
---|---|---|---|
1104392497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209.018213 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209018213 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Loyola University Medical Center | Maywood, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Loyola University Medical Center | 3779488903 | 857 |
Entity Name | Loyola University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
Entity Name | Mount Sinai Community Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
Mailing Address | Practice Location Address |
---|---|
Michelle Kethcart, APN 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 | Michelle Kethcart, APN 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 |
Dr. Margaret Mary Naber, DNP, APRN, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Bldg 101, Room 1752, Maywood, IL 60153 Phone: 708-216-9000 Fax: 708-216-6269 | |
Ms. Victoria Anne Davidson-bell, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-6569 | |
Ijeoma Achebe, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Margaret Merritt, DNP, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Mrs. Camille Kidd Moses, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-8591 Fax: 708-218-8600 | |
Lauren M Martin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Nancy Pak, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Ems 110, Maywood, IL 60153 Phone: 708-216-9000 |