| Benjamin Newell Windham, APRN | |
|
1540 E Grove Ave, Rantoul, IL 61866-2736 | |
| (217) 893-7700 | |
| Not Available |
| Full Name | Benjamin Newell Windham |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1540 E Grove Ave, Rantoul, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104478932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209030250 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Carle Foundation Hospital | Urbana, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carle Health Care Incorporated | 3577515774 | 912 |
| Christie Clinic, Pllc | 7719899319 | 210 |
| Entity Name | Christie Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20031103000332 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Newell Windham, APRN 611 W Park, Fapc, Urbana, IL 61802 Ph: (217) 902-6954 | Benjamin Newell Windham, APRN 1540 E Grove Ave, Rantoul, IL 61866-2736 Ph: (217) 893-7700 |
Alexis Fiscus, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1540 E Grove Ave, Rantoul, IL 61866 Phone: 217-893-7700 Fax: 217-893-7801 | |
Jesus Presiado, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 841 Broadmeadow Rd, Rantoul, IL 61866 Phone: 218-282-3010 | |
Krista Nichole Covert, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1540 E Grove Ave, Rantoul, IL 61866 Phone: 217-893-7700 |