| Kathryn Lewis, NP-C | |
|
201 Lincoln Statue Dr, Dixon, IL 61021-2000 | |
| (815) 677-0674 | |
| (815) 425-9369 |
| Full Name | Kathryn Lewis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 201 Lincoln Statue Dr, Dixon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073138467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209021392 (Illinois) | Primary |
| Entity Name | Cgh Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902854623 PECOS PAC ID: 6103723267 Enrollment ID: O20031217000054 |
| Entity Name | Whiteside County Community Health Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528008034 PECOS PAC ID: 4587673835 Enrollment ID: O20060413000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Lewis, NP-C 201 Lincoln Statue Dr, Dixon, IL 61021-2000 Ph: (815) 677-0674 | Kathryn Lewis, NP-C 201 Lincoln Statue Dr, Dixon, IL 61021-2000 Ph: (815) 677-0674 |
Christina Iyer, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 629 N Galena Ave, Dixon, IL 61021 Phone: 815-288-1235 Fax: 815-288-0034 | |
Ms. Janet I. Malmberg, APN, RNC, WHNP. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 309 South Galena Ave, Suite 100, Dixon, IL 61021 Phone: 815-284-3371 Fax: 815-288-1811 | |
Valarie Pfoutz, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-288-5531 | |
Audra Danielle Washo, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-284-5710 Fax: 815-285-5893 | |
Kristina Kay Mershon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 N Brinton Ave, Dixon, IL 61021 Phone: 815-288-5561 | |
Jill C Obrien, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8903 |