Mrs Diane R Pineda, FNP | |
1301 S. Kiwanis Dr., Freeport, IL 61032-6907 | |
(773) 536-8400 | |
(773) 536-2406 |
Full Name | Mrs Diane R Pineda |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 36 Years |
Location | 1301 S. Kiwanis Dr., Freeport, 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 |
---|---|---|---|
1942210604 | NPI | - | NPPES |
0040030712 | Other | IL | BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209002308 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209002308 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Monroe Clinic | Monroe, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Monroe Clinic Inc | 3072425495 | 155 |
The Monroe Clinic Inc | 3072425495 | 155 |
Entity Name | The Monroe Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831254036 PECOS PAC ID: 3072425495 Enrollment ID: O20040112000130 |
Mailing Address | Practice Location Address |
---|---|
Mrs Diane R Pineda, FNP 515 22nd Avenue, Monroe, WI 53566-1569 Ph: (312) 996-8009 | Mrs Diane R Pineda, FNP 1301 S. Kiwanis Dr., Freeport, IL 61032-6907 Ph: (773) 536-8400 |
Shannon Kaye Lizer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 Kiwanis Dr, Freeport, IL 61032 Phone: 815-235-4881 | |
Danielle E Siedschlag, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 N Harlem Ave, Freeport, IL 61032 Phone: 815-599-7750 | |
Tamisha Bonvillain, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-6000 | |
Lynda A Shiro, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-7740 Fax: 815-599-7983 | |
Mrs. Susan Marie Tuell, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 667 W Fairview Rd, Freeport, IL 61032 Phone: 815-233-5734 Fax: 815-233-5754 | |
Judy Cullor, APRN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-7730 | |
Mrs. Michelle Leigh Volling, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 S. Kiwanis Dr, Freeport, IL 61032 Phone: 815-235-4881 Fax: 815-232-4614 |