| Marie R Carcellar, CNP | |
|
5101 S Willow Springs Rd, La Grange, IL 60525-7009 | |
| (708) 245-4073 | |
| (708) 245-5614 |
| Full Name | Marie R Carcellar |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 5101 S Willow Springs Rd, La Grange, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659656486 | NPI | - | NPPES |
| 208341 | Other | GROUP PTAN | |
| 208342 | Other | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209008874 (Illinois) | Primary |
| Entity Name | In Home Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497087175 PECOS PAC ID: 3779612395 Enrollment ID: O20100520000116 |
| Entity Name | Midwest Professional Medical Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104179365 PECOS PAC ID: 7012169006 Enrollment ID: O20121221000294 |
| Entity Name | Vitae Health Medical Illinois, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
| Mailing Address | Practice Location Address |
|---|---|
| Marie R Carcellar, CNP 5101 S Willow Springs Rd, La Grange, IL 60525-7009 Ph: (708) 245-4073 | Marie R Carcellar, CNP 5101 S Willow Springs Rd, La Grange, IL 60525-7009 Ph: (708) 245-4073 |
Tiara Cang Escondo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5101 Willow Springs Rd, La Grange, IL 60525 Phone: 708-245-9000 | |
Diane Nurceski, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5101 Willow Springs Rd, La Grange, IL 60525 Phone: 708-245-4073 Fax: 708-245-5614 | |
Teresa Masterson, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23 W Calendar Ave, La Grange, IL 60525 Phone: 708-352-0081 | |
Donna S Mitchell, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 Calendar Ave, La Grange, IL 60525 Phone: 708-579-2400 | |
Ms. Monica Ann Mcandrews, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 N Spring Ave, La Grange, IL 60525 Phone: 312-942-4500 | |
Yasmin Abdullah, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4727 Willow Springs Rd, La Grange, IL 60525 Phone: 630-858-2930 | |
Hannah Rose Collao, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Dover Ave, La Grange, IL 60525 Phone: 815-768-5317 |