Mrs Tammie Henderson, NP | |
400 S Kennedy Dr, Suite 900, Bradley, IL 60915-2682 | |
(815) 932-3132 | |
(815) 932-2397 |
Full Name | Mrs Tammie Henderson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 400 S Kennedy Dr, Bradley, 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 |
---|---|---|---|
1598164303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 209011570 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
R.m.c. Home Health Care | Peotone, IL | Home health agency |
Presence Home Care-kankakee | Bourbonnais, IL | Home health agency |
Riverside Medical Center | Kankakee, IL | Hospital |
Presence St Marys Hospital | Kankakee, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Riverside Health System | 3274434717 | 152 |
Entity Name | Riverside Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tammie Henderson, NP 400 S Kennedy Dr, Suite 900, Bradley, IL 60915-2682 Ph: (815) 932-3132 | Mrs Tammie Henderson, NP 400 S Kennedy Dr, Suite 900, Bradley, IL 60915-2682 Ph: (815) 932-3132 |
Jenna Nicole Sarna, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 S Kennedy Dr Ste 700, Bradley, IL 60915 Phone: 815-935-7532 Fax: 815-935-7495 | |
Tara Lynn Barnes-cherry, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 S Kennedy Dr Ste 300, Bradley, IL 60915 Phone: 815-935-7532 | |
Mrs. Lori A Cornelius, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 990 N Kinzie Ave, Bradley, IL 60915 Phone: 815-933-2589 Fax: 815-634-5253 | |
Ms. Kathryn Margaret Marie Inczaukskis, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 S Kennedy Dr Ste 700, Bradley, IL 60915 Phone: 815-935-7532 Fax: 815-935-7495 | |
Melissa Ewert Ortega, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 990 N Kinzie Ave, Bradley, IL 60915 Phone: 815-935-7256 | |
Ms. Isabel Nicole Montoya, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 S Kennedy Dr Ste 300, Bradley, IL 60915 Phone: 815-935-7532 | |
Mrs. Holly Koren Dinello, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 990 N Kinzie Ave, Bradley, IL 60915 Phone: 815-933-2589 Fax: 815-634-5253 |