| Ashley M Martin, APN | |
|
1601 West Jackson Street, Suite 104, Macomb, IL 61455 | |
| (309) 575-3222 | |
| (309) 404-8000 |
| Full Name | Ashley M Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 1601 West Jackson Street, Macomb, 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 |
|---|---|---|---|
| 1235534066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209012048 (Illinois) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 209012048 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mc Donough District Hospital | Macomb, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeview Medical And Psychiatric Healthcare Llc | 5496049330 | 2 |
| Entity Name | Lakeview Medical & Psychiatric Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942656749 PECOS PAC ID: 5496049330 Enrollment ID: O20160816000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley M Martin, APN 1601 West Jackson Street, Suite 104, Macomb, IL 61455 Ph: (309) 575-3222 | Ashley M Martin, APN 1601 West Jackson Street, Suite 104, Macomb, IL 61455 Ph: (309) 575-3222 |
Kelsi D Cunningham, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 E Grant St, Macomb, IL 61455 Phone: 309-836-1542 | |
Qinghui Liu, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 525 E Grant St, Macomb, IL 61455 Phone: 309-833-4101 | |
Bonnie Jean Bartlett, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 University Cir, Macomb, IL 61455 Phone: 309-298-1888 | |
Kayla Jean Anderson, CPNP-PC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 505 E Grant St Ste 110, Macomb, IL 61455 Phone: 309-833-1733 | |
Madeline Bickhaus, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 W Jackson St Ste 104, Macomb, IL 61455 Phone: 309-575-3222 Fax: 309-276-0615 | |
Mrs. Megan Clemens, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 E Grant St, Macomb, IL 61455 Phone: 309-833-4101 | |
Ms. Susanne Carol Campbell, APN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 University Circle, Macomb, IL 61455 Phone: 309-298-1888 Fax: 309-298-2188 |