| Amanda L Foit, NP | |
|
5875 E Riverside Blvd, Rockford, IL 61114-4937 | |
| (815) 398-9491 | |
| (815) 381-7498 |
| Full Name | Amanda L Foit |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 5875 E Riverside Blvd, Rockford, 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 |
|---|---|---|---|
| 1023426475 | NPI | - | NPPES |
| P01382957 | Other | IL | RR MEDICARE |
| P01359969 | Other | IA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209.011799 (Illinois) | Primary |
| 363L00000X | Nurse Practitioner | A114990 (Iowa) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercyone Clinton Medical Center | Clinton, IA | Hospital |
| Monroe County Hospital | Albia, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iowa Emergency Services Llc | 3678837580 | 8 |
| Entity Name | Monroe County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245469378 PECOS PAC ID: 1759299217 Enrollment ID: O20040316001275 |
| Entity Name | Mercy Specialty Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386832764 PECOS PAC ID: 3375639586 Enrollment ID: O20071019000139 |
| Entity Name | Iowa Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821591454 PECOS PAC ID: 3678837580 Enrollment ID: O20180501000864 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda L Foit, NP Po Box 735263, Chicago, IL 60673-5263 Ph: () - | Amanda L Foit, NP 5875 E Riverside Blvd, Rockford, IL 61114-4937 Ph: (815) 398-9491 |
Misty Lynn Dehaven, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107 Phone: 815-395-1500 Fax: 815-395-1415 | |
Mariola U Grzeszczyk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498 | |
Candice Vicencio, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4215 Newburg Rd, Rockford, IL 61108 Phone: 815-988-8500 Fax: 815-977-5956 | |
Caryn Ann Ruzic, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Tyler James Rafferty, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Valerie Kae Wright, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3259 Montlake Dr, Rockford, IL 61114 Phone: 815-238-6833 | |
Angela Giardono, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 |