| Andrea C Rorabaugh, FNP-BC | |
|
10454 N 500e Rd, Manteno, IL 60950-3116 | |
| (815) 693-5962 | |
| (815) 989-0144 |
| Full Name | Andrea C Rorabaugh |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 10454 N 500e Rd, Manteno, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780356782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 277003647 (Illinois) | Primary |
| Entity Name | Midwest Express Care 2 Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548692890 PECOS PAC ID: 0547495467 Enrollment ID: O20131031001375 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea C Rorabaugh, FNP-BC 10454 N 500e Rd, Manteno, IL 60950-3116 Ph: (815) 693-5962 | Andrea C Rorabaugh, FNP-BC 10454 N 500e Rd, Manteno, IL 60950-3116 Ph: (815) 693-5962 |
Christina Deckelman, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Manteno, IL 60950 Phone: 815-468-1027 Fax: 815-468-1219 | |
Ashley Beane, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 S Locust St, Manteno, IL 60950 Phone: 815-468-6737 | |
Beth Rogers, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Manteno, IL 60950 Phone: 815-468-1027 |