| Melissa Marie Glass, APRN-FPA | |
|
600 S 13th St, Pekin, IL 61554-4936 | |
| (309) 347-1151 | |
| (309) 347-6016 |
| Full Name | Melissa Marie Glass |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 600 S 13th St, Pekin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750833356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 277.001921 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 277.001920 (Illinois) | Primary |
| 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 | Pekin Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245355411 PECOS PAC ID: 4789676438 Enrollment ID: O20040401000798 |
| Entity Name | Epss Peoria Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831421056 PECOS PAC ID: 1850587007 Enrollment ID: O20101130000569 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265966048 PECOS PAC ID: 1355259714 Enrollment ID: O20170828003194 |
| Entity Name | Epss Llc - Central Series |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538680467 PECOS PAC ID: 6204192016 Enrollment ID: O20171110002604 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Marie Glass, APRN-FPA 2124 Highwood Ave, Pekin, IL 61554-6328 Ph: (309) 275-6363 | Melissa Marie Glass, APRN-FPA 600 S 13th St, Pekin, IL 61554-4936 Ph: (309) 347-1151 |
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 | |
Madeline Jo Gresham, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19 Olt Ave, Pekin, IL 61554 Phone: 309-680-7600 Fax: 309-353-3334 | |
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 |