Timothy Stead, | |
1231 Kleemann Dr, Clinton, IL 61727-2633 | |
(217) 935-5022 | |
(217) 935-9592 |
Full Name | Timothy Stead |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 23 Years |
Location | 1231 Kleemann Dr, Clinton, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346340973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 041239025/209004999 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary Medical Center | Galesburg, IL | Hospital |
Osf Saint Lukes Medical Center | Kewanee, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Mary Medical Center | 8628038015 | 50 |
Entity Name | Ahearn & Associates Medical Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114036308 PECOS PAC ID: 0244129195 Enrollment ID: O20040311000015 |
Entity Name | St Mary Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962467670 PECOS PAC ID: 8628038015 Enrollment ID: O20041011000420 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Timothy Stead, 1231 Kleemann Dr, Clinton, IL 61727-2633 Ph: (217) 935-5022 | Timothy Stead, 1231 Kleemann Dr, Clinton, IL 61727-2633 Ph: (217) 935-5022 |
Cynthia Diane Saylors, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 64 Somerset Dr, Clinton, IL 61727 Phone: 309-275-3534 | |
Mrs. Danna Elizabeth Powers, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 422 W White St, Clinton, IL 61727 Phone: 217-937-5285 Fax: 217-937-5296 | |
Angela Cunningham, APN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 422 W White St, Clinton, IL 61727 Phone: 217-937-5284 Fax: 217-937-5280 | |
Mrs. Maureen Elisabeth Wilson, APN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 422 W White St, Clinton, IL 61727 Phone: 217-937-5284 | |
Cheryl A Carmack, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1231 Kleemann Dr, Clinton, IL 61727 Phone: 217-935-5022 Fax: 217-935-9592 |