| Michelle Deamicis, NP | |
|
4840 N Marine Dr, Chicago, IL 60640-7860 | |
| (773) 977-4031 | |
| Not Available |
| Full Name | Michelle Deamicis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 4840 N Marine Dr, Chicago, 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 |
|---|---|---|---|
| 1689474801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209030760 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Matrix Mental Health Ltd | 6204378714 | 10 |
| Entity Name | Matrix Mental Health Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467212860 PECOS PAC ID: 6204378714 Enrollment ID: O20240611003430 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Deamicis, NP 2501 Chatham Rd, Springfield, IL 62704-4188 Ph: (312) 428-6961 | Michelle Deamicis, NP 4840 N Marine Dr, Chicago, IL 60640-7860 Ph: (773) 977-4031 |
Mr. Gerald M. Bedore, APN/CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 S Wolcott Ave Rm E-144, Chicago, IL 60612 Phone: 312-996-7420 Fax: 312-413-8485 |
Cynthia Phillips, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2003 W Fulton St Ste 505, Chicago, IL 60612 Phone: 312-243-2223 |
Jessica Lauren Offenbach, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 312-227-4000 |
Ms. Jenny Ko Lee, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 847-962-6268 |
April Stewart Stowers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2045 W Grand Ave Ste B, Chicago, IL 60612 Phone: 708-630-1534 Fax: 888-517-8619 |
Stacy Ervin, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Michigan Ave, Chicago, IL 60611 Phone: 866-825-3227 |
Mr. Joshua Bryan Dunn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 W Harrison St, Chicago, IL 60607 Phone: 312-942-5904 |