| Jonathan Rider, NP | |
|
600 S 13th St, Suite E, Pekin, IL 61554-4936 | |
| (309) 353-9709 | |
| (309) 353-0929 |
| Full Name | Jonathan Rider |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 600 S 13th St, Pekin, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437526852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 209013212 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carle Home Care | Champaign, IL | Home health agency |
| Carle Health Methodist Hospital | Peoria, IL | Hospital |
| Carle Health Pekin Hospital | Pekin, IL | Hospital |
| Carle Health Proctor Hospital | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Methodist Medical Center Of Illinois | 1355259714 | 387 |
| Proctor Health Systems | 3476440173 | 131 |
| Carle Health Care Incorporated | 3577515774 | 1592 |
| Entity Name | Pekin Prohealth Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932150299 PECOS PAC ID: 1951214576 Enrollment ID: O20031110000647 |
| Entity Name | Methodist Medical Center of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| 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 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Rider, NP 600 S 13th St, Suite E, Pekin, IL 61554-4936 Ph: (309) 353-9709 | Jonathan Rider, NP 600 S 13th St, Suite E, Pekin, IL 61554-4936 Ph: (309) 353-9709 |
Emily Crebo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Park Ave, Pekin, IL 61554 Phone: 309-346-7776 |
Kayla Ferman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3591 Griffin Ave, Pekin, IL 61554 Phone: 309-353-1822 |
Madeline Jo Gresham, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19 Olt Ave, Pekin, IL 61554 Phone: 309-680-7600 Fax: 309-353-3334 |
Jessica Verplaetse, PHD, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 N 6th St Ste G1, Pekin, IL 61554 Phone: 309-810-4407 |
Shauna L Bivens, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Griffin Ave, Pekin, IL 61554 Phone: 309-347-4277 Fax: 309-347-4388 |
Ashley Jean Huette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2301 Court St, Pekin, IL 61554 Phone: 309-308-5100 |
Theresa Abbadusky, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Broadway St, Pekin, IL 61554 Phone: 309-346-3416 |