| Angela Wilson, FNP-BC | |
|
210 W Walnut St, Canton, IL 61520-2444 | |
| (309) 647-5240 | |
| Not Available |
| Full Name | Angela Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 210 W Walnut St, Canton, 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 |
|---|---|---|---|
| 1336953108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209031848 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Graham Hospital Association | Canton, IL | Hospital |
| Graham Hospital Association | Canton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Graham Hospital Association | 2769375021 | 124 |
| Entity Name | Methodist Medical Center of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Entity Name | Methodist Medical Center of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265966048 PECOS PAC ID: 1355259714 Enrollment ID: O20170828003194 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Wilson, FNP-BC 367 N 1st Ave, Canton, IL 61520-1809 Ph: (309) 472-6331 | Angela Wilson, FNP-BC 210 W Walnut St, Canton, IL 61520-2444 Ph: (309) 647-5240 |
Ms. Dara Marie Wagner, APN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 |
Tracy Ann Iversen, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-647-0201 |
Jessica Lynn Bugos, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 |
Christina Dawn Denning, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24915 N Copperas Creek Rd, Canton, IL 61520 Phone: 303-093-6187 |
Cody J. Gibbs, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-6880 |
Stephanie Barnes, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-6880 |
Kelsey Rae Cox, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 |