| Dr Keith Jerome Carter, PMHNP-BC | |
| 
					14300 S Ravinia Ave Ste 100, Orland Park, IL 60462-2578  | |
| (630) 974-6602 | |
| (630) 487-2411 | 
| Full Name | Dr Keith Jerome Carter | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 14300 S Ravinia Ave Ste 100, Orland Park, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043920929 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209026498 (Illinois) | Primary | 
| Entity Name | Tms Clinical Services Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285273540 PECOS PAC ID: 7517395064 Enrollment ID: O20200316000568  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Keith Jerome Carter, PMHNP-BC 1100 Jorie Blvd Ste 300, Oak Brook, IL 60523-2219 Ph: (630) 974-6602  | Dr Keith Jerome Carter, PMHNP-BC 14300 S Ravinia Ave Ste 100, Orland Park, IL 60462-2578 Ph: (630) 974-6602  | 
Rachel Hesse, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14290 S La Grange Rd, Orland Park, IL 60462 Phone: 866-389-2727  | |
Tasheia Lashay Williams,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15303 S 94th Ave., Suite 250, Orland Park, IL 60462 Phone: 630-428-7890  | |
Kay Budick, R.N., C.N.S. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14400 John Humphrey Dr, Suite 200, Orland Park, IL 60462 Phone: 708-675-1305 Fax: 708-226-1657  | |
Ms. Samantha R Piazzolla, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15300 West Ave Ste 100a, Orland Park, IL 60462 Phone: 708-226-2318 Fax: 708-226-2319  | |
Gail Scruggs Lauryn, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10745 165th St, Orland Park, IL 60467 Phone: 708-799-8384 Fax: 708-799-1305  | |
Stella Benya, AGPCNP-BC, RN-BSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11528 183rd St, Orland Park, IL 60467 Phone: 919-349-3467  | |
Amanda Erdmann, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14290 S La Grange Rd, Orland Park, IL 60462 Phone: 708-403-2356  |