| Mrs Mary Ellen Allen, APN | |
|
222 N Sangamon Ave, Gibson City, IL 60936 | |
| (217) 748-8148 | |
| (217) 784-8160 |
| Full Name | Mrs Mary Ellen Allen |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 222 N Sangamon Ave, Gibson City, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114931623 | NPI | - | NPPES |
| 362658552001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 209001628 (Illinois) | Primary |
| Entity Name | Gibson Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20040505001293 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary Ellen Allen, APN 1120 N Melvin St, Gibson City, IL 60936-1477 Ph: (217) 784-4251 | Mrs Mary Ellen Allen, APN 222 N Sangamon Ave, Gibson City, IL 60936 Ph: (217) 748-8148 |
Chelsey Luke, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Doctors Park, Gibson City, IL 60936 Phone: 217-784-5500 Fax: 217-784-4106 | |
Patricia Belle, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3 Doctors Park, Gibson City, IL 60936 Phone: 217-784-4030 Fax: 217-784-4405 | |
Mark M Spangler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Doctors Park, Gibson City, IL 60936 Phone: 217-784-4030 Fax: 217-784-4405 | |
Mr. Amnuay Sethakorn, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4 Doctors Park, Gibson City, IL 60936 Phone: 217-784-8919 | |
Dr. Katherine M Austman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Doctors Park, Gibson City, IL 60936 Phone: 217-784-5500 | |
Dr. David John Hagan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 N Sangamon Ave, Gibson City, IL 60936 Phone: 217-784-8148 Fax: 217-784-8160 |