| Christopher Doedtman, APRN, BC-FNP | |
|
1005 Broadway St, Quincy, IL 62301-2834 | |
| (217) 223-8400 | |
| Not Available |
| Full Name | Christopher Doedtman |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 1005 Broadway St, Quincy, 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 |
|---|---|---|---|
| 1427568732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209016264 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 277001969 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blessing Hospital | Quincy, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blessing Hospital | 3072422534 | 414 |
| Memorial Physician Services | 9032005681 | 161 |
| Entity Name | Memorial Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174877930 PECOS PAC ID: 9032005681 Enrollment ID: O20040223000454 |
| Entity Name | Cepamerica Illinois LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Entity Name | Blessing Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20161005001836 |
| Entity Name | Vituity - Illinois Auc LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306334198 PECOS PAC ID: 0547516932 Enrollment ID: O20180627000637 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Doedtman, APRN, BC-FNP 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-8400 | Christopher Doedtman, APRN, BC-FNP 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-8400 |
Glenda Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 |
Mrs. Reghnald Ann Westhoff, MSN, RN APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 915 Vermont St, Quincy, IL 62301 Phone: 217-222-8254 Fax: 217-222-4512 |
Rick Knochel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-1200 |
Rebecca Reed, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4800 Maine St, Quincy, IL 62305 Phone: 217-214-6217 Fax: 217-214-5848 |
Erin Siefert, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-6894 |
Brenda Colleen Blickhan, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-1200 Fax: 217-214-5675 |
Alicia Anne Reis, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-214-6230 Fax: 217-214-5854 |