| David L Kieser, APN, FNP | |
|
501a S Towanda Barnes Rd Ste 2, Bloomington, IL 61705-4031 | |
| (309) 612-9002 | |
| (309) 391-0134 |
| Full Name | David L Kieser |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 501a S Towanda Barnes Rd Ste 2, Bloomington, 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 |
|---|---|---|---|
| 1841488855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.006777 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gibson Community Hospital | Gibson city, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Carle Bromenn Medical Center | Normal, IL | Hospital |
| Saint James Hospital | Pontiac, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopedics Of Illinois - The Bone Joint And Sports Medicine Center S | 8325226707 | 7 |
| Carle West Physician Group Inc | 8921420308 | 282 |
| Carle Health Care Incorporated | 3577515774 | 1592 |
| Gibson Community Hospital Association | 5092703124 | 159 |
| Entity Name | Advocate Health and Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Gibson Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20040505001293 |
| Entity Name | Hopedale Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801033071 PECOS PAC ID: 1153363577 Enrollment ID: O20050525001258 |
| Entity Name | Gibson Community Hospital Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20071116000131 |
| 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 |
| Entity Name | Orthopedics of Illinois - the Bone Joint and Sports Medicine Center S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255635892 PECOS PAC ID: 8325226707 Enrollment ID: O20110707000485 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| David L Kieser, APN, FNP 1120 N Melvin St, Gibson City, IL 60936-1477 Ph: (217) 784-4251 | David L Kieser, APN, FNP 501a S Towanda Barnes Rd Ste 2, Bloomington, IL 61705-4031 Ph: (309) 612-9002 |
Theresa Kauth, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808 |
Cheryl Hansen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3024 E Empire St, Bloomington, IL 61704 Phone: 309-454-4411 |
Carey Harris, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3120 Fax: 309-664-3890 |
Elizabeth Jeanne Igoe, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3024 E Empire St Ste A, Bloomington, IL 61704 Phone: 309-556-7800 Fax: 309-556-7804 |
Ms. Linda Kay Wall, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 318 W Washington St, 3rd Floor, Bloomington, IL 61701 Phone: 309-827-4014 Fax: 309-828-6626 |
Amy O'brien, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1401 Eastland Dr, Bloomington, IL 61701 Phone: 309-661-3360 Fax: 309-661-3390 |
Amanda Lynn Ruona, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 308-982-7535 |