| Kristine Ross Carpenter, MD | |
|
2512 Hurst Dr., Mattoon, IL 61938 | |
| (217) 258-5900 | |
| (217) 258-3686 |
| Full Name | Kristine Ross Carpenter |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 2512 Hurst Dr., Mattoon, 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 |
|---|---|---|---|
| 1215198189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036127366 (Illinois) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | 149531 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Carle Foundation Hospital | Urbana, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hoopeston Community Memorial Hospital | 3577456037 | 120 |
| Carle Health Care Incorporated | 3577515774 | 912 |
| Entity Name | Hoopeston Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043683014 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristine Ross Carpenter, MD 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6792 | Kristine Ross Carpenter, MD 2512 Hurst Dr., Mattoon, IL 61938 Ph: (217) 258-5900 |
Dr. Dominic Perrino, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-238-4325 Fax: 217-348-4290 | |
Andrew Robert Gage, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Coles Centre Dr, Mattoon, IL 61938 Phone: 217-234-5110 | |
Jagan Mohan Reddy Bokka I, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-238-4325 Fax: 217-348-4290 | |
Robert Wochner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1005 Health Center Drive, Suite 103, Mattoon, IL 61938 Phone: 217-258-4051 Fax: 217-258-4063 | |
Margaret Louisa Tate, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2512 Hurst Dr Ste 120, Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-3686 | |
Dr. Dawn Miesner, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2512 Hurst Dr, Ste 120, Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-5904 |