| Ms Angela Lytle, FNP | |
|
1 Professional Dr, Alton, IL 62002-5068 | |
| (618) 463-8500 | |
| (618) 463-8537 |
| Full Name | Ms Angela Lytle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1 Professional Dr, Alton, 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 |
|---|---|---|---|
| 1770025868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209015110 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209015110 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anderson Hospital | Maryville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3341 |
| Anderson Medical Group Llc | 5193792018 | 122 |
| Entity Name | Anderson Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700807716 PECOS PAC ID: 5193792018 Enrollment ID: O20040910001137 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Angela Lytle, FNP 6810 State Route 162 Box 215, Maryville, IL 62062-8501 Ph: (618) 391-6405 | Ms Angela Lytle, FNP 1 Professional Dr, Alton, IL 62002-5068 Ph: (618) 463-8500 |
Mrs. Misty D Biciocchi, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr, Ste 134, Alton, IL 62002 Phone: 618-607-1340 Fax: 618-622-9724 | |
Lee A Tardino, MSN ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002 Phone: 618-463-5905 Fax: 618-463-5935 | |
Jodi R Lutz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Washington Ave, Alton, IL 62002 Phone: 314-687-2735 | |
Lisa K James, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002 Phone: 618-433-6170 | |
Lindsey Nicole Erickson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Memorial Dr Ste 220, Alton, IL 62002 Phone: 314-953-8799 Fax: 314-953-8798 | |
Laura L Brandenburg, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Memorial Dr, Ste 230b, Alton, IL 62002 Phone: 618-463-7777 Fax: 618-463-7767 | |
Kelsey M Beard, FNP-BC, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002 Phone: 618-463-5905 Fax: 618-463-5035 |