| Dustin Brooks, | |
|
127 Stewart St, East Peoria, IL 61611-2613 | |
| (309) 678-7422 | |
| Not Available |
| Full Name | Dustin Brooks |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 127 Stewart St, East Peoria, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568017333 | NPI | - | NPPES |
| 209019082 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209019082 (Illinois) | Primary |
| Entity Name | Best Practices Inpatient Care, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619913522 PECOS PAC ID: 5799687372 Enrollment ID: O20040123000525 |
| Entity Name | Radial Health Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215954185 PECOS PAC ID: 4385537299 Enrollment ID: O20040204001001 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Brooks, 127 Stewart St, East Peoria, IL 61611-2613 Ph: () - | Dustin Brooks, 127 Stewart St, East Peoria, IL 61611-2613 Ph: (309) 678-7422 |
Delanie Lynn Fletcher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100 | |
Mrs. Deidra Diane Anderson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100 | |
Joshua A Larson, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Spinder Dr Ste 4015, East Peoria, IL 61611 Phone: 309-308-5100 Fax: 309-308-5102 | |
Amy J Stone, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100 | |
Courtney Elizabeth Reubin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100 | |
Kaylee Elizabeth Polen, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-265-7287 | |
Brittany Anne Mcgill, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Spinder Dr Ste 4015, East Peoria, IL 61611 Phone: 309-308-5100 Fax: 309-308-5102 |