| Ms Alicia Layton, | |
|
1304 Franklin Ave Ste 380, Normal, IL 61761-3558 | |
| (309) 268-5130 | |
| (309) 268-5784 |
| Full Name | Ms Alicia Layton |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1304 Franklin Ave Ste 380, Normal, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053854323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209.015017 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209015017 (Illinois) | Primary |
| Entity Name | Pekin Prohealth Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932150299 PECOS PAC ID: 1951214576 Enrollment ID: O20031110000647 |
| 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 | Proctor Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184670663 PECOS PAC ID: 1355259714 Enrollment ID: O20040315000196 |
| 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 Llc - Central Series |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538680467 PECOS PAC ID: 6204192016 Enrollment ID: O20171110002604 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Entity Name | Carle Bromenn Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104442615 PECOS PAC ID: 8921429499 Enrollment ID: O20200716000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Alicia Layton, 1304 Franklin Ave Ste 380, Normal, IL 61761-3558 Ph: (309) 268-5130 | Ms Alicia Layton, 1304 Franklin Ave Ste 380, Normal, IL 61761-3558 Ph: (309) 268-5130 |
Bethani Christianson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Fort Jesse Rd Ste 110, Normal, IL 61761 Phone: 309-661-6290 | |
Nicole M Lord, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1730 Bradford Ln, Normal, IL 61761 Phone: 309-451-2080 | |
Elizabeth Anne Madlem, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 | |
Jessica Johann, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Fort Jesse Rd, 110, Normal, IL 61761 Phone: 309-661-6290 Fax: 309-451-1354 | |
Ami Meyer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 | |
Jennifer Lynn Lanz, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Suite 4500, Normal, IL 61761 Phone: 309-556-8300 Fax: 309-556-8293 |