Carissa Cole, CNP | |
301 E Southline Rd, Tuscola, IL 61953-2014 | |
(217) 253-5231 | |
Not Available |
Full Name | Carissa Cole |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 301 E Southline Rd, Tuscola, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932756194 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209019303 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209019303 (Illinois) | Primary |
Entity Name | Hoopeston Community Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366480873 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
Mailing Address | Practice Location Address |
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Carissa Cole, CNP 611 W. Park St., Fapc, Urbana, IL 61801 Ph: () - | Carissa Cole, CNP 301 E Southline Rd, Tuscola, IL 61953-2014 Ph: (217) 253-5231 |
Kaci Helfrich, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Tuscola Blvd, Tuscola, IL 61953 Phone: 217-253-2020 Fax: 217-253-4886 | |
Alison S Ray, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Tuscola Blvd, Tuscola, IL 61953 Phone: 217-253-4764 Fax: 217-253-4886 | |
Casey R Hoenes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 E Southline Rd, Tuscola, IL 61953 Phone: 217-253-5231 Fax: 217-253-4082 |