| Ki Ristia J Allen-lampe, FNP-C, PMHNP-BC | |
|
4941 Benchmark Centre Dr Ste 200, Swansea, IL 62226-2038 | |
| (618) 972-1568 | |
| (618) 205-3561 |
| Full Name | Ki Ristia J Allen-lampe |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 4941 Benchmark Centre Dr Ste 200, Swansea, 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 |
|---|---|---|---|
| 1255754529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277002964 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 277002964 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Surgical Technology, Llc | 3274857685 | 11 |
| Entity Name | Advanced Surgical Technology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497159024 PECOS PAC ID: 3274857685 Enrollment ID: O20150113000768 |
| Mailing Address | Practice Location Address |
|---|---|
| Ki Ristia J Allen-lampe, FNP-C, PMHNP-BC 21580 Birg St, Carlyle, IL 62231-6471 Ph: (618) 322-7217 | Ki Ristia J Allen-lampe, FNP-C, PMHNP-BC 4941 Benchmark Centre Dr Ste 200, Swansea, IL 62226-2038 Ph: (618) 972-1568 |
Mrs. Charity Wambui Nyuguto, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Park Pl, Swansea, IL 62226 Phone: 618-257-0780 Fax: 618-234-7242 | |
Jedsia Omega Brown, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 209 W Pointe Dr Ste D, Swansea, IL 62226 Phone: 618-641-3588 | |
Mrs. Donna Mcghee, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Park Pl, Swansea, IL 62226 Phone: 618-233-5722 Fax: 618-233-7069 | |
Toni Sue Baldwin-dufour, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 N Illinois Ln, Swansea, IL 62226 Phone: 618-257-6380 Fax: 618-257-6444 | |
Laura Lorraine Hackworth, APRN,CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 Fullerton Rd, Swansea, IL 62226 Phone: 618-233-7666 Fax: 618-233-7461 | |
Brittanie Bardon, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4941 Benchmark Centre Dr, Ste 100, Swansea, IL 62226 Phone: 618-624-9970 Fax: 618-624-9973 |