| Beth Mathews, APN | |
|
1504 Patton Dr, Unit 2, Mahomet, IL 61853-8126 | |
| (217) 784-2633 | |
| (217) 590-0272 |
| Full Name | Beth Mathews |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 28 Years |
| Location | 1504 Patton Dr, Mahomet, 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 |
|---|---|---|---|
| 1326157595 | NPI | - | NPPES |
| 041-177521 | Other | IL | ILL. RN LICENSE# |
| F400299982 | Other | IL | MEDICARE PTAN |
| 209000456 | Other | IL | ILL. APN LICENSE |
| 30227022 | Other | IL | ANCC CREDENTIAL # |
| 5711821 | Other | IL | FIRST HEALTH/COVENTRY |
| S67258 | Other | IL | MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209000456 (Illinois) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 209000456 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| In Home Medical Group Llc | 3779612395 | 35 |
| Community Home Physicians Llc | 4981988771 | 81 |
| Entity Name | In Home Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497087175 PECOS PAC ID: 3779612395 Enrollment ID: O20100520000116 |
| Entity Name | Community Home Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568909505 PECOS PAC ID: 4981988771 Enrollment ID: O20170222001318 |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Mathews, APN 1504 Patton Dr, Unit 2, Mahomet, IL 61853-8126 Ph: (217) 784-2633 | Beth Mathews, APN 1504 Patton Dr, Unit 2, Mahomet, IL 61853-8126 Ph: (217) 784-2633 |
Laura Lynn Keller, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Heather Dr, Mahomet, IL 61853 Phone: 217-586-8480 | |
Casie Danielle Mcclellan, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1504 Patton Dr, Mahomet, IL 61853 Phone: 217-586-2633 Fax: 217-590-0272 | |
Mrs. Helena Diane Longfellow, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1504 Patton Dr, Mahomet, IL 61853 Phone: 217-586-2633 Fax: 217-590-0272 | |
Megan Kathleen Ramirez, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1204 E Oak St. Bldg 2 Suite 2, Mahomet, IL 61853 Phone: 217-530-5608 Fax: 309-981-8714 | |
Meldomi Asabea Asante, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1506 Amy Dr, Mahomet, IL 61853 Phone: 301-651-0193 |