Tracy Jo Walker, | |
401 N Main St, Roanoke, IL 61561-7585 | |
(309) 923-2661 | |
(309) 923-7628 |
Full Name | Tracy Jo Walker |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 401 N Main St, Roanoke, 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 |
---|---|---|---|
1235886094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 209024834 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Francis Medical Center | Peoria, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1552 |
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 |
---|---|
Tracy Jo Walker, 900 W Maple St, Canton, IL 61520-2953 Ph: (309) 678-1368 | Tracy Jo Walker, 401 N Main St, Roanoke, IL 61561-7585 Ph: (309) 923-2661 |
Mrs. Rachel Nicole Anderson, APP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 | |
Michelle M Stephens, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 Fax: 309-923-7628 | |
Jennifer Renee Stoller, DNP, PNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 | |
Laura Lynn Keller, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 121-772-2847 | |
Maddalena Davenport, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 | |
Hayley Elizabeth Wilson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 | |
Petra Flores, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 |