| Ashley Beane, APN | |
|
501 S Locust St, Manteno, IL 60950-1654 | |
| (815) 468-6737 | |
| Not Available |
| Full Name | Ashley Beane |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 501 S Locust St, 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 |
|---|---|---|---|
| 1467808089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209014270 (Illinois) | Primary |
| Entity Name | Presence Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356727127 PECOS PAC ID: 2860396769 Enrollment ID: O20150810001673 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Beane, APN 1000 Remington Blvd, Ste 100, Bolingbrook, IL 60440-4707 Ph: (630) 914-2468 | Ashley Beane, APN 501 S Locust St, Manteno, IL 60950-1654 Ph: (815) 468-6737 |
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 | |
Andrea C Rorabaugh, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10454 N 500e Rd, Manteno, IL 60950 Phone: 815-693-5962 Fax: 815-989-0144 | |
Beth Rogers, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Manteno, IL 60950 Phone: 815-468-1027 |