| Kathleen Martin, FNP | |
|
223 E Main St, Princeville, IL 61559-9654 | |
| (309) 385-4371 | |
| (309) 385-2695 |
| Full Name | Kathleen Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 223 E Main St, Princeville, 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 |
|---|---|---|---|
| 1669422135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209004444 (Illinois) | Primary |
| 363L00000X | Nurse Practitioner | 209004444 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carle Home Care | Champaign, IL | Home health agency |
| Osf Home Health-western Region | Galesburg, IL | Home health agency |
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Proctor Hospital | Peoria, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Osf Saint Lukes Medical Center | Kewanee, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Proctor Health Systems | 3476440173 | 134 |
| Methodist Medical Center Of Illinois | 1355259714 | 401 |
| 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 |
|---|---|
| Kathleen Martin, FNP 223 E Main St, Princeville, IL 61559-9654 Ph: (309) 385-4371 | Kathleen Martin, FNP 223 E Main St, Princeville, IL 61559-9654 Ph: (309) 385-4371 |
Mrs. Ashley Irene Lynn, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9922 W Grange Hall Rd, Princeville, IL 61559 Phone: 708-405-9578 Fax: 949-810-9106 |