| Empowerme Medical Group, Pc | |
|
1815 N Towanda Barnes Rd Bloomington IL 61705-2802 | |
| (844) 502-7996 | |
| Not Available |
| Full Name | Empowerme Medical Group, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1815 N Towanda Barnes Rd, Bloomington, Illinois |
| Authorized Official Name and Position | David Church (VP OF FINANCE) |
| Authorized Official Contact | 6189725228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowerme Medical Group, Pc 1335 Strassner Dr Brentwood MO 63144-1872 Ph: (844) 502-7996 | Empowerme Medical Group, Pc 1815 N Towanda Barnes Rd Bloomington IL 61705-2802 Ph: (844) 502-7996 |
| NPI Number | 1073217204 |
|---|---|
| Provider Enumeration Date | 03/30/2023 |
| Last Update Date | 04/19/2023 |
| Medicare PECOS PAC ID | 7214392059 |
|---|---|
| Medicare Enrollment ID | O20230505001503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073217204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Nicole M Lord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013319623 PECOS PAC ID: 7113242058 Enrollment ID: I20150217000945 |
| Provider Name | Mandy J Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851798920 PECOS PAC ID: 8123344074 Enrollment ID: I20150311002546 |
| Provider Name | Connie E Zurski |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1164813515 PECOS PAC ID: 5991022006 Enrollment ID: I20150331001007 |
| Provider Name | Melissa L Siebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912449968 PECOS PAC ID: 7618253717 Enrollment ID: I20170403002324 |
| Provider Name | Andrew D. Kirkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659855872 PECOS PAC ID: 5799039665 Enrollment ID: I20181112001797 |
| Provider Name | Christina N High |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730664053 PECOS PAC ID: 9638413156 Enrollment ID: I20181210001831 |
| Provider Name | Joseph Mitchell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1952669152 PECOS PAC ID: 5496981425 Enrollment ID: I20221027001071 |
| Provider Name | Merideth Apn Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801552195 PECOS PAC ID: 9830562586 Enrollment ID: I20230301000221 |
| Provider Name | Kristopher Wolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497137947 PECOS PAC ID: 5193073575 Enrollment ID: I20230621002134 |
| Provider Name | Lauren Petry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447702212 PECOS PAC ID: 4880963719 Enrollment ID: I20230731002857 |
| Provider Name | Chelsea Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740714674 PECOS PAC ID: 7214207273 Enrollment ID: I20230912001514 |
| Provider Name | Dina Aurslanian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366906745 PECOS PAC ID: 0749515377 Enrollment ID: I20240129000980 |
| Provider Name | Patricia Lewien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295256485 PECOS PAC ID: 2961772223 Enrollment ID: I20240408000150 |
| Provider Name | Claire Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093324816 PECOS PAC ID: 6406268481 Enrollment ID: I20240501003413 |
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