| Diana L Tomlianovich, PMHNP-BC | |
|
2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | |
| (618) 244-6544 | |
| (618) 244-6577 |
| Full Name | Diana L Tomlianovich |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 2920 Veterans Memorial Dr, Mount Vernon, 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 |
|---|---|---|---|
| 1497288492 | NPI | - | NPPES |
| 214881 | Other | IL | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.014810 (Illinois) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209.014810 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Resource Center Inc | 8224050638 | 3 |
| Christopher Greater Area Rural Health Planning Corp | 8224947387 | 46 |
| Entity Name | Christopher Greater Area Rural Health Planning Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639159213 PECOS PAC ID: 8224947387 Enrollment ID: O20040109000561 |
| Entity Name | Community Resource Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386605434 PECOS PAC ID: 8224050638 Enrollment ID: O20051229000256 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana L Tomlianovich, PMHNP-BC Po Box 155, Christopher, IL 62822-0155 Ph: (618) 724-2401 | Diana L Tomlianovich, PMHNP-BC 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 Ph: (618) 244-6544 |
Amanda Engele, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5100 Lake Ter Ne Ste Wc, Mount Vernon, IL 62864 Phone: 618-899-5001 | |
Leslie Wright, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4101 N Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-244-6222 | |
Fariahh Fazil, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864 Phone: 618-899-3980 | |
Andrea Stearns, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-246-2910 | |
Nancy K Kertz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864 Phone: 618-242-4848 Fax: 618-242-4198 | |
Natalie Amason, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4107 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-244-0031 Fax: 618-244-0056 | |
Melanie Cross, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-3778 Fax: 618-242-2551 |