| Mr Keith Michael Doubet, FNP-C | |
|
256 S Soangetaha Rd, Galesburg, IL 61401-5586 | |
| (309) 233-2836 | |
| (888) 464-1233 |
| Full Name | Mr Keith Michael Doubet |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 256 S Soangetaha Rd, Galesburg, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225735533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 277.004604 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Genesis Medical Center-davenport | Davenport, IA | Hospital |
| Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
| Mercyone Clinton Medical Center | Clinton, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Genesis Health System | 6103829338 | 203 |
| Entity Name | Genesis Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528616901 PECOS PAC ID: 6103829338 Enrollment ID: O20191031002622 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Keith Michael Doubet, FNP-C Po Box 9727, Peoria, IL 61612-9727 Ph: (309) 886-9172 | Mr Keith Michael Doubet, FNP-C 256 S Soangetaha Rd, Galesburg, IL 61401-5586 Ph: (309) 233-2836 |
Melissa Hajostek, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-2405 | |
Kerry Bramlett, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1090 W Sandburg Dr, Galesburg, IL 61401 Phone: 309-343-0311 | |
Sharon L Marguglio, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-343-5114 | |
Jessica L Logan, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2779 Volunteer Dr Ste 201, Galesburg, IL 61401 Phone: 309-345-9400 Fax: 309-345-9401 | |
Shannon L Egan, APRN,CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 | |
Mrs. Susie Marie Avery, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1887 Sunset Dr, Galesburg, IL 61401 Phone: 309-371-9300 | |
Miss Monica Lynn Interial, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1377 W Main St, Galesburg, IL 61401 Phone: 773-641-8904 |