Mrs Angela M Longeville, NP | |
925 West St, Peru, IL 61354-2757 | |
(815) 223-3300 | |
(815) 223-3394 |
Full Name | Mrs Angela M Longeville |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 925 West St, Peru, Illinois |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548735988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209018462 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Katherine Shaw Bethea Hospital | Dixon, IL | Hospital |
Perry Memorial Hospital | Princeton, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Katherine Shaw Bethea Hospital | 2264480037 | 9 |
Entity Name | Osf Healthcare System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679606073 PECOS PAC ID: 4284541806 Enrollment ID: O20070503000249 |
Entity Name | Katherine Shaw Bethea Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427043546 PECOS PAC ID: 2264480037 Enrollment ID: O20081218000029 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Entity Name | Epss North Region Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194282707 PECOS PAC ID: 0345582474 Enrollment ID: O20190422000388 |
Entity Name | Epss, Llc- Metro Series |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124782305 PECOS PAC ID: 6608266713 Enrollment ID: O20211203002440 |
Mailing Address | Practice Location Address |
---|---|
Mrs Angela M Longeville, NP 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Mrs Angela M Longeville, NP 925 West St, Peru, IL 61354-2757 Ph: (815) 223-3300 |
Tiffany Ann Shinnick, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-220-2645 | |
Shannon Lynn Whitley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-223-6843 | |
Melissa Elvira Ramirez, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-223-6843 | |
Mrs. Candace R Ramirez, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Road, Peru, IL 61354 Phone: 815-538-1351 | |
Jennifer Marie Dowding, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1403 6th St, Peru, IL 61354 Phone: 309-308-5072 | |
Keith Christensen, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-664-5311 | |
Debra Herz, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-223-2808 Fax: 815-220-2691 |