| Elizabeth Diemer, | |
|
2500 W Reynolds St Ste 203, Pontiac, IL 61764-9774 | |
| (815) 844-5115 | |
| Not Available |
| Full Name | Elizabeth Diemer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2500 W Reynolds St Ste 203, Pontiac, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699539577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WG0000X | Registered Nurse - General Practice | 041377192 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209029298 (Illinois) | Primary |
| Entity Name | Saint James Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790735421 PECOS PAC ID: 0648187252 Enrollment ID: O20040804001073 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Diemer, 1105 N Prairie View Ln, Pontiac, IL 61764-1228 Ph: (815) 992-7208 | Elizabeth Diemer, 2500 W Reynolds St Ste 203, Pontiac, IL 61764-9774 Ph: (815) 844-5115 |
Mrs. Deborah L Nielsen, R.N. A.P.N Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-5343 Fax: 815-844-5715 | |
Cheryle Diana Strother, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 402 N Plum St, Pontiac, IL 61764 Phone: 815-844-4631 Fax: 815-844-1942 | |
Nancy White, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-5115 Fax: 815-842-2152 | |
Andrea Mclean, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St # 205, Pontiac, IL 61764 Phone: 815-842-4501 | |
Briana Flori, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-942-5790 | |
Mary Krall, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-3633 Fax: 815-844-6309 | |
Kelsey Walker, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1506 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-6123 |