| Carlene Porter, APN | |
|
4405 Weaver Pkwy, Warrenville, IL 60555-3269 | |
| (630) 352-5300 | |
| (630) 352-5499 |
| Full Name | Carlene Porter |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 29 Years |
| Location | 4405 Weaver Pkwy, Warrenville, 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 |
|---|---|---|---|
| 1003877630 | NPI | - | NPPES |
| 206147104 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
| CA4748 | Other | IL | RAILROAD MEDICARE PTAN (GROUP) |
| 206147 | Other | IL | MEDICARE PTAN (GROUP) |
| P01090259 | Other | IL | RAILROAD MEDICARE PTAN (INDIVIDUAL) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209-001548 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Dupage Hospital | Winfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlene Porter, APN 4405 Weaver Pkwy, Warrenville, IL 60555-3269 Ph: (630) 352-5300 | Carlene Porter, APN 4405 Weaver Pkwy, Warrenville, IL 60555-3269 Ph: (630) 352-5300 |
Laura Minarich, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 28201 Diehl Rd, Warrenville, IL 60555 Phone: 360-657-5555 | |
Mrs. Erica Souders, FNP-BC, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28201 Diehl Rd, Warrenville, IL 60555 Phone: 708-427-5765 | |
Mr. Robert Dennis Stalley, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-938-8850 Fax: 630-938-8849 | |
Mary Kay Larson, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-352-5450 Fax: 630-352-5499 | |
Jacqueline Rose Schmidt, MSN, APN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-352-5450 Fax: 630-352-5499 | |
Steffanie E Bishop, NP-C, FPA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28373 Davis Pkwy Ste 500, Warrenville, IL 60555 Phone: 630-261-9220 |