Mrs Melonie M Richardson, NP | |
819 Bloomington Rd, Champaign, IL 61820-2101 | |
(217) 356-1558 | |
(217) 366-0160 |
Full Name | Mrs Melonie M Richardson |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 819 Bloomington Rd, Champaign, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811062623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209004802 (Illinois) | Primary |
Entity Name | Center For Your Health Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760562961 PECOS PAC ID: 1254338494 Enrollment ID: O20061031000221 |
Entity Name | Promise Healthcare Nfp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578821005 PECOS PAC ID: 6103071345 Enrollment ID: O20130219000476 |
Mailing Address | Practice Location Address |
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Mrs Melonie M Richardson, NP 819 Bloomington Rd, Champaign, IL 61820-2101 Ph: (217) 356-1558 | Mrs Melonie M Richardson, NP 819 Bloomington Rd, Champaign, IL 61820-2101 Ph: (217) 356-1558 |
Emily Stephenson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-6207 Fax: 217-365-6380 | |
Mrs. Tiffany Ann Rushing, APN, FNP-BC, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1802 S Mattis Ave, Champaign, IL 61821 Phone: 217-365-2855 Fax: 217-365-2856 | |
Maddison P. Draper, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2718 N Prospect Ave, Champaign, IL 61822 Phone: 217-337-3852 Fax: 217-337-3853 | |
Jessica Lynn Mandrell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 819 Bloomington Rd, Champaign, IL 61820 Phone: 217-356-1558 | |
Ms. Greta Obereiner, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1801 Windsor Rd, Champaign, IL 61822 Phone: 217-366-8130 Fax: 217-366-6106 | |
Alger Penas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 S 1st St, Champaign, IL 61820 Phone: 217-383-9400 Fax: 217-383-9691 | |
Miss Abigayl Frields, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1813 W Kirby Ave Ste 120, Champaign, IL 61821 Phone: 217-383-3131 |