Tarren Prange, APNP | |
2020 E Grand Ave, Lindenhurst, IL 60046-9069 | |
(847) 356-4302 | |
Not Available |
Full Name | Tarren Prange |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 2020 E Grand Ave, Lindenhurst, 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 |
---|---|---|---|
1922573625 | NPI | - | NPPES |
8327-33 | Other | WI | APNP LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 8327 (Wisconsin) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209018037 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Minuteclinic Diagnostic Of Wisconsin Llc | 7810210259 | 11 |
Minuteclinic Diagnostic Of Illinois Llc | 8729171566 | 126 |
Entity Name | Minuteclinic Diagnostic Of Wisconsin Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346664216 PECOS PAC ID: 7810210259 Enrollment ID: O20141216001503 |
Entity Name | Minuteclinic Video Virtual Care Of Wisconsin, Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932732914 PECOS PAC ID: 0547684243 Enrollment ID: O20200727003573 |
Mailing Address | Practice Location Address |
---|---|
Tarren Prange, APNP 2020 E Grand Ave, Lindenhurst, IL 60046-9069 Ph: (847) 356-4302 | Tarren Prange, APNP 2020 E Grand Ave, Lindenhurst, IL 60046-9069 Ph: (847) 356-4302 |
Beata Kaczkowski, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2020 E Grand Ave, Lindenhurst, IL 60046 Phone: 866-389-2727 | |
Svetlana Bek, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1055 E Grand Ave, Lindenhurst, IL 60046 Phone: 312-391-7878 |