| Jennifer Smidt, | |
|
411 Maxine Dr, Morton, IL 61550-2495 | |
| (309) 263-2411 | |
| Not Available |
| Full Name | Jennifer Smidt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 411 Maxine Dr, Morton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538588298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 209011426 (Illinois) | Primary |
| Entity Name | Proctor Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184670663 PECOS PAC ID: 1355259714 Enrollment ID: O20040315000196 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Smidt, 411 Maxine Dr, Morton, IL 61550-2495 Ph: () - | Jennifer Smidt, 411 Maxine Dr, Morton, IL 61550-2495 Ph: (309) 263-2411 |
Katherine Merila, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 435 Maxine Drive Suite #4, Morton, IL 61550 Phone: 309-263-2424 Fax: 309-284-2244 | |
Malinda M Babcock, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 435 Maxine Dr Ste 3&4, Morton, IL 61550 Phone: 309-263-2424 | |
Elizabeth Anne Hayes, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 370 E Courtland St, Morton, IL 61550 Phone: 309-291-0899 Fax: 309-291-0927 | |
Danielle Schmidgall, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 435 Maxine Dr, Morton, IL 61550 Phone: 309-263-8173 | |
Mrs. Lorrie R. Harmon, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 853 W Jackson Plaza, Morton, IL 61550 Phone: 309-308-5100 Fax: 309-308-5119 | |
Renae Callahan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 E Queenwood Rd Ste 202, Morton, IL 61550 Phone: 309-621-9580 | |
Ashley Brandt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1909 N Morton Ave, Morton, IL 61550 Phone: 309-263-9124 |