| Jena C Nowicki, NP-C | |
|
5775 E State Route 113, Coal City, IL 60416-7111 | |
| (815) 634-0100 | |
| (815) 634-2900 |
| Full Name | Jena C Nowicki |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5775 E State Route 113, Coal City, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558852699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209017696 (Illinois) | Primary |
| Entity Name | Riverside Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
| Entity Name | Wellbe Senior Medical Illinois Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306499363 PECOS PAC ID: 4486985199 Enrollment ID: O20191010002358 |
| Mailing Address | Practice Location Address |
|---|---|
| Jena C Nowicki, NP-C 5775 E State Route 113, Coal City, IL 60416-7111 Ph: (815) 634-0100 | Jena C Nowicki, NP-C 5775 E State Route 113, Coal City, IL 60416-7111 Ph: (815) 634-0100 |
Mrs. Carollyn Pierard, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 317 Coaler Dr, Coal City, IL 60416 Phone: 815-954-7221 Fax: 714-203-3539 | |
Mrs. Natalie A Palka, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5775 E State Route 113, Coal City, IL 60416 Phone: 815-634-0100 Fax: 815-634-2900 | |
Saima Abdul Karim, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 E North St, Coal City, IL 60416 Phone: 815-634-4099 Fax: 815-634-4077 | |
Stacey Johnson, FNP/BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 E North St, Coal City, IL 60416 Phone: 815-518-5755 Fax: 815-634-4097 |