Wayland J Mutter, RN | |
1005 Broadway St, Quincy, IL 62301-2834 | |
(217) 223-1200 | |
Not Available |
Full Name | Wayland J Mutter |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1005 Broadway St, Quincy, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447769724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 041326848 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209017279 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Blessing Hospital | Quincy, IL | Hospital |
Mc Donough District Hospital | Macomb, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blessing Hospital | 3072422534 | 349 |
Entity Name | Quincy Physicians & Surgeons Clinic, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548234198 PECOS PAC ID: 0749192375 Enrollment ID: O20031103000445 |
Entity Name | Blessing Hospital |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1235656745 PECOS PAC ID: 3072422534 Enrollment ID: O20171016002218 |
Mailing Address | Practice Location Address |
---|---|
Wayland J Mutter, RN 1025 Maine St, Quincy, IL 62301-4038 Ph: (217) 222-6550 | Wayland J Mutter, RN 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-1200 |
Glenda Brown, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 | |
Mrs. Reghnald Ann Westhoff, MSN, RN APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 915 Vermont St, Quincy, IL 62301 Phone: 217-222-8254 Fax: 217-222-4512 | |
Rick Knochel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-1200 | |
Rebecca Reed, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4800 Maine St, Quincy, IL 62305 Phone: 217-224-6423 Fax: 217-214-5848 | |
Nicole Suzanne Murphy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 326 N 24th St, Quincy, IL 62301 Phone: 217-214-6300 | |
Erin Bowers, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-6894 | |
Brenda Colleen Blickhan, AGNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-1200 |