| Kimberly J Bankston, ANP | |
|
385 S Orange St, El Paso, IL 61738-1613 | |
| (309) 527-4900 | |
| (309) 527-3525 |
| Full Name | Kimberly J Bankston |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 385 S Orange St, El Paso, 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 |
|---|---|---|---|
| 1962428003 | NPI | - | NPPES |
| 5720935 | Other | BLUE CROSS BLUE SHIELD | |
| 10220308 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 20900121 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Dupage Hospital | Winfield, IL | Hospital |
| Advocate Bromenn Medical Center | Normal, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bloomington Primary Care, Ltd. | 9436342375 | 9 |
| Entity Name | Bloomington Primary Care, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689991929 PECOS PAC ID: 9436342375 Enrollment ID: O20101022001158 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly J Bankston, ANP Po Box 2451, Bloomington, IL 61702-2451 Ph: (309) 268-2172 | Kimberly J Bankston, ANP 385 S Orange St, El Paso, IL 61738-1613 Ph: (309) 527-4900 |
Jean-marie Tyner, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 385 S Orange St, El Paso, IL 61738 Phone: 309-527-4900 Fax: 309-527-3525 | |
Mrs. Courtney Lee Button, ANP-C FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Delaney Dr, El Paso, IL 61738 Phone: 309-527-2260 | |
Mrs. Debra Lea Fischer, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 385 S. Orange Street, Advocate Medical Group, El Paso, IL 61738 Phone: 309-527-4900 Fax: 309-527-3525 |