| Jennifer Whitfill, | |
|
2500 W Reynolds St, Pontiac, IL 61764-9774 | |
| (815) 842-3633 | |
| (815) 844-6309 |
| Full Name | Jennifer Whitfill |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 2500 W Reynolds St, Pontiac, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952537797 | NPI | - | NPPES |
| 833230 | Other | IL | MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041-331318 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209-007683 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Home Health-eastern Region | Normal, IL | Home health agency |
| Saint James Hospital | Pontiac, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint James Hospital | 0648187252 | 58 |
| 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 |
| Entity Name | Bloomington Primary Care, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689991929 PECOS PAC ID: 9436342375 Enrollment ID: O20101022001158 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Whitfill, 2500 W Reynolds St, Pontiac, IL 61764-9774 Ph: (815) 842-3633 | Jennifer Whitfill, 2500 W Reynolds St, Pontiac, IL 61764-9774 Ph: (815) 842-3633 |
Mrs. Deborah L Nielsen, R.N. A.P.N Nurse Practitioner Medicare: Medicare Enrolled 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 | |
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 | |
Andrew John Farraher, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 W Reynolds St, 208, Pontiac, IL 61764 Phone: 815-844-2001 |