| Andrea S Good, NURSE PRACTITIONER | |
|
4305 W Medical Center Dr Ste 1, Mchenry, IL 60050-8425 | |
| (815) 759-8100 | |
| (815) 759-8106 |
| Full Name | Andrea S Good |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 4305 W Medical Center Dr Ste 1, Mchenry, 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 |
|---|---|---|---|
| 1154899094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209028515 (Illinois) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 209028515 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Willamette Falls Medical Center | Oregon city, OR | Hospital |
| Providence Milwaukie Hospital | Milwaukie, OR | Hospital |
| Providence Portland Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 0648183608 | 1338 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912282369 PECOS PAC ID: 5294901922 Enrollment ID: O20120319000430 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea S Good, NURSE PRACTITIONER 4305 W Medical Center Dr Ste 1, Mchenry, IL 60050-8425 Ph: (815) 759-8100 | Andrea S Good, NURSE PRACTITIONER 4305 W Medical Center Dr Ste 1, Mchenry, IL 60050-8425 Ph: (815) 759-8100 |
Magaly Nickles, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4309 W Medical Center Dr Ste B305, Mchenry, IL 60050 Phone: 847-802-7400 | |
Lindsay Ann Mattes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3901 Mercy Dr, Mchenry, IL 60050 Phone: 815-363-9900 | |
Katarzyna Maria Brozek, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-344-5000 | |
Nichole N Clark, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 633 Ridgeview Dr, Mchenry, IL 60050 Phone: 815-344-0621 Fax: 815-344-0664 | |
Tanya Tanzillo, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2507 N Richmond Rd, Mchenry, IL 60051 Phone: 815-338-6600 Fax: 815-759-4078 | |
Carrie A Hauck, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 | |
Susan Wilde, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4309 W Medical Center Dr, B310, Mchenry, IL 60050 Phone: 815-344-0900 Fax: 815-344-8957 |