| Laura Lynn Keller, APRN | |
|
1001 Heather Dr, Mahomet, IL 61853-2754 | |
| (217) 586-8480 | |
| Not Available |
| Full Name | Laura Lynn Keller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1001 Heather Dr, Mahomet, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154058220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 041369089 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209026081 (Illinois) | Primary |
| Entity Name | Saint James Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790735421 PECOS PAC ID: 0648187252 Enrollment ID: O20040804001073 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Lynn Keller, APRN 611 W Park St, Fapc, Urbana, IL 61801 Ph: () - | Laura Lynn Keller, APRN 1001 Heather Dr, Mahomet, IL 61853-2754 Ph: (217) 586-8480 |
Casie Danielle Mcclellan, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1504 Patton Dr, Mahomet, IL 61853 Phone: 217-586-2633 Fax: 217-590-0272 | |
Mrs. Helena Diane Longfellow, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1504 Patton Dr, Mahomet, IL 61853 Phone: 217-586-2633 Fax: 217-590-0272 | |
Beth Mathews, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1504 Patton Dr, Unit 2, Mahomet, IL 61853 Phone: 217-784-2633 Fax: 217-590-0272 | |
Megan Kathleen Ramirez, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1204 E Oak St. Bldg 2 Suite 2, Mahomet, IL 61853 Phone: 217-530-5608 Fax: 309-981-8714 | |
Meldomi Asabea Asante, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1506 Amy Dr, Mahomet, IL 61853 Phone: 301-651-0193 |