| Andrew John Farraher, CNP | |
|
2500 W Reynolds St, 208, Pontiac, IL 61764-9774 | |
| (815) 844-2001 | |
| Not Available |
| Full Name | Andrew John Farraher |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 2500 W Reynolds St, Pontiac, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316314446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.013022 (Illinois) | Primary |
| Entity Name | Pekin Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245355411 PECOS PAC ID: 4789676438 Enrollment ID: O20040401000798 |
| Entity Name | Epss Peoria Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831421056 PECOS PAC ID: 1850587007 Enrollment ID: O20101130000569 |
| Entity Name | Epss Llc - Central Series |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538680467 PECOS PAC ID: 6204192016 Enrollment ID: O20171110002604 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew John Farraher, CNP 515 E Chatham St, Metamora, IL 61548-7010 Ph: (309) 208-6288 | Andrew John Farraher, CNP 2500 W Reynolds St, 208, Pontiac, IL 61764-9774 Ph: (815) 844-2001 |
Mrs. Deborah L Nielsen, R.N. A.P.N Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-5343 Fax: 815-844-5715 | |
Cheryle Diana Strother, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 402 N Plum St, Pontiac, IL 61764 Phone: 815-844-4631 Fax: 815-844-1942 | |
Nancy White, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-5115 Fax: 815-842-2152 | |
Briana Flori, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-942-5790 | |
Mary Krall, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-3633 Fax: 815-844-6309 | |
Kelsey Walker, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1506 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-6123 |