Keri Ashmore, NP | |
1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | |
(618) 899-1255 | |
Not Available |
Full Name | Keri Ashmore |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1 Good Samaritan Way, Mount Vernon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1891593315 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209031754 (Illinois) | Primary |
Entity Name | Midwest Emergency Good Samaritan, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629367578 PECOS PAC ID: 1658529342 Enrollment ID: O20120921000645 |
Entity Name | Midwest Emergency Centralia Campus Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396034245 PECOS PAC ID: 2163672650 Enrollment ID: O20121018000074 |
Mailing Address | Practice Location Address |
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Keri Ashmore, NP 502 W Richland Ave, Effingham, IL 62401-2554 Ph: (217) 218-8426 | Keri Ashmore, NP 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 Ph: (618) 899-1255 |
Amanda Engele, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5100 Lake Ter Ne Ste Wc, Mount Vernon, IL 62864 Phone: 618-899-5001 | |
Leslie Wright, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4101 N Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-244-6222 | |
Fariahh Fazil, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864 Phone: 618-899-3980 | |
Andrea Stearns, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4000 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-246-2910 | |
Nancy K Kertz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864 Phone: 618-242-4848 Fax: 618-242-4198 | |
Natalie Amason, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4107 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-244-0031 Fax: 618-244-0056 | |
Melanie Cross, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-3778 Fax: 618-242-2551 |