| Nickolas Allen Rhoades, | |
|
2406 E Empire St, Bloomington, IL 61704-3630 | |
| (309) 662-4321 | |
| Not Available |
| Full Name | Nickolas Allen Rhoades |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 2406 E Empire St, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821637927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209020288 (Illinois) | Primary |
| Entity Name | Millennium Pain Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225196488 PECOS PAC ID: 4486543691 Enrollment ID: O20040401001105 |
| Entity Name | Applied Pain Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528233111 PECOS PAC ID: 5597835637 Enrollment ID: O20080602000645 |
| Mailing Address | Practice Location Address |
|---|---|
| Nickolas Allen Rhoades, 404 Watford Dr, Bloomington, IL 61704-1203 Ph: (309) 242-8747 | Nickolas Allen Rhoades, 2406 E Empire St, Bloomington, IL 61704-3630 Ph: (309) 662-4321 |
Theresa Kauth, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808 | |
Cheryl Hansen, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3024 E Empire St, Bloomington, IL 61704 Phone: 309-454-4411 | |
Carey Harris, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3000 Fax: 309-664-3026 | |
Elizabeth Jeanne Robert, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3024 E Empire St Ste A, Bloomington, IL 61704 Phone: 309-556-7800 Fax: 309-556-7804 | |
Ms. Linda Kay Wall, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 318 W Washington St, 3rd Floor, Bloomington, IL 61701 Phone: 309-827-4014 Fax: 309-828-6626 | |
Amy O'brien, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 Eastland Dr, Bloomington, IL 61701 Phone: 309-661-3360 Fax: 309-661-3390 | |
Mrs. Sonal Mukesh Patel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3800 |