| Keri Jane Mullins, APRN-BC | |
|
1366 E 1050th Ave, Oblong, IL 62449-2409 | |
| (618) 592-3119 | |
| (618) 546-2602 |
| Full Name | Keri Jane Mullins |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 1366 E 1050th Ave, Oblong, 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 |
|---|---|---|---|
| 1710143367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209007177 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Crawford Memorial Hospital | Robinson, IL | Hospital |
| Good Samaritan Hospital | Vincennes, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crawford Hospital District | 7719898071 | 61 |
| Entity Name | Crawford Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861423287 PECOS PAC ID: 7719898071 Enrollment ID: O20040205000950 |
| Mailing Address | Practice Location Address |
|---|---|
| Keri Jane Mullins, APRN-BC 1366 E 1050th Ave, Oblong, IL 62449-2409 Ph: (618) 592-3119 | Keri Jane Mullins, APRN-BC 1366 E 1050th Ave, Oblong, IL 62449-2409 Ph: (618) 592-3119 |
Holly E Harmon, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1366 E 1050th Ave, Oblong, IL 62449 Phone: 618-592-3119 Fax: 618-546-2602 | |
Mrs. Gaynell Sue Ladislas, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 N Garfield St, Oblong, IL 62449 Phone: 618-592-3119 Fax: 618-592-3875 |