| Madeline Jo Gresham, WHNP | |
|
19 Olt Ave, Pekin, IL 61554-6214 | |
| (309) 680-7600 | |
| (309) 353-3334 |
| Full Name | Madeline Jo Gresham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 19 Olt Ave, Pekin, 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 |
|---|---|---|---|
| 1124748009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 209026023 (Illinois) | Primary |
| 163W00000X | Registered Nurse | 041444979 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Proctor Hospital | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Methodist Medical Center Of Illinois | 1355259714 | 283 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184670663 PECOS PAC ID: 1355259714 Enrollment ID: O20040315000196 |
| Mailing Address | Practice Location Address |
|---|---|
| Madeline Jo Gresham, WHNP 2022 W Laura Ave, West Peoria, IL 61604-5166 Ph: (309) 863-0773 | Madeline Jo Gresham, WHNP 19 Olt Ave, Pekin, IL 61554-6214 Ph: (309) 680-7600 |
Emily Crebo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Park Ave, Pekin, IL 61554 Phone: 309-346-7776 | |
Kayla Ferman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3591 Griffin Ave, Pekin, IL 61554 Phone: 309-353-1822 | |
Shauna L Bivens, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Griffin Ave., Pekin, IL 61554 Phone: 309-347-4277 Fax: 309-347-4388 | |
Ashley Jean Huette, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2301 Court St, Pekin, IL 61554 Phone: 309-308-5100 | |
Theresa Abbadusky, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Broadway St, Pekin, IL 61554 Phone: 309-346-3416 | |
Bridget Lynn Welker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 Broadway St, Pekin, IL 61554 Phone: 309-346-3416 |