Ms Laurie Jean Beavers, FAMILY NURSE PRACTIT | |
8590 Saint Lukes Dr, Beardstown, IL 62618-8398 | |
(217) 323-2242 | |
(217) 452-7245 |
Full Name | Ms Laurie Jean Beavers |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 8590 Saint Lukes Dr, Beardstown, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386747343 | NPI | - | NPPES |
370661499007 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209 000817 (Illinois) | Primary |
363LP0200X | Nurse Practitioner - Pediatrics | 209 000817 (Illinois) | Secondary |
Entity Name | Thomas H Boyd Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811096811 PECOS PAC ID: 8123085560 Enrollment ID: O20041216000800 |
Mailing Address | Practice Location Address |
---|---|
Ms Laurie Jean Beavers, FAMILY NURSE PRACTIT Rr 1 Box 130, Greenfield, IL 62044 Ph: (217) 368-3001 | Ms Laurie Jean Beavers, FAMILY NURSE PRACTIT 8590 Saint Lukes Dr, Beardstown, IL 62618-8398 Ph: (217) 323-2242 |
April Summers, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 W 15th St, Beardstown, IL 62618 Phone: 217-323-2245 Fax: 217-323-9362 | |
Kayla Jean Anderson, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8590 Saint Lukes Dr, Beardstown, IL 62618 Phone: 217-323-2242 | |
Courtney Brooke Elliott, RN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 W 15th St, Beardstown, IL 62618 Phone: 217-323-2245 Fax: 217-323-2684 | |
Sarah Roegge, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 W 15th St, Beardstown, IL 62618 Phone: 217-323-2245 |