| Mrs Holly Marie Chapman, APN | |
|
104 E Ashland Ave, Mt Zion, IL 62549-1271 | |
| (217) 864-2665 | |
| Not Available |
| Full Name | Mrs Holly Marie Chapman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 104 E Ashland Ave, Mt Zion, 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 |
|---|---|---|---|
| 1851951552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 209.016930 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Decatur Memorial Hospital | Decatur, IL | Hospital |
| St Marys Hospital | Decatur, IL | Hospital |
| Pana Community Hospital | Pana, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pana Community Hospital Association | 3274437348 | 54 |
| Decatur Orthopedic Center Llc | 4981844289 | 9 |
| Entity Name | Pana Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942326970 PECOS PAC ID: 3274437348 Enrollment ID: O20031121000350 |
| Entity Name | Kirby Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386635373 PECOS PAC ID: 6901791144 Enrollment ID: O20050801000320 |
| Entity Name | Decatur Orthopedic Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336586114 PECOS PAC ID: 4981844289 Enrollment ID: O20130710000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Holly Marie Chapman, APN 155 Beyers Lake Est, Pana, IL 62557-9702 Ph: (217) 273-1306 | Mrs Holly Marie Chapman, APN 104 E Ashland Ave, Mt Zion, IL 62549-1271 Ph: (217) 864-2665 |
Donald Nicholas Sullivan, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 104 Ashland, Mt Zion, IL 62549 Phone: 217-864-2665 Fax: 217-864-8042 |