| Jessica Ann Lacey, NP | |
|
1201 Wooddell Way Ste B, Mattoon, IL 61938-1014 | |
| (217) 238-2030 | |
| (217) 238-3008 |
| Full Name | Jessica Ann Lacey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1201 Wooddell Way Ste B, Mattoon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528349834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.008990 (Illinois) | Primary |
| Entity Name | Physicians Immediate Care Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528046323 PECOS PAC ID: 4486568813 Enrollment ID: O20031118001089 |
| Entity Name | Physicians Immediate Care North Chicago Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381 |
| Entity Name | Toofan Medical Holdings, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396179693 PECOS PAC ID: 6800026006 Enrollment ID: O20140310001343 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Ann Lacey, NP Po Box 372, Mattoon, IL 61938-0372 Ph: () - | Jessica Ann Lacey, NP 1201 Wooddell Way Ste B, Mattoon, IL 61938-1014 Ph: (217) 238-2030 |
Madeline Koester, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Palm Ave, Mattoon, IL 61938 Phone: 217-234-7403 | |
Diana L. Oakley, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Health Center Dr Ste 104, Mattoon, IL 61938 Phone: 217-258-2178 Fax: 217-258-4024 | |
Penelope Shields, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 102, Mattoon, IL 61938 Phone: 217-258-4042 Fax: 217-258-4053 | |
Lana Keigley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1005 Health Center Dr Ste 100, Mattoon, IL 61938 Phone: 217-258-4006 Fax: 217-258-4120 | |
Emily N Hardiek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2512 Hurst Dr Ste 130, Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-3686 | |
Robert C Atchley, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2551 | |
Loring Barr, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 |