| Ms Hollie Trettenero, FNP-C | |
|
715 Broadway St, Gillespie, IL 62033-1166 | |
| (217) 839-4491 | |
| Not Available |
| Full Name | Ms Hollie Trettenero |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 715 Broadway St, Gillespie, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811389935 | NPI | - | NPPES |
| 209012517 | Other | IL | ST OF IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209012517 (Illinois) | Primary |
| Entity Name | Macoupin Family Practice Centers Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699899070 PECOS PAC ID: 2365350253 Enrollment ID: O20050928000530 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Hollie Trettenero, FNP-C 715 Broadway St, Gillespie, IL 62033-1166 Ph: (217) 839-4491 | Ms Hollie Trettenero, FNP-C 715 Broadway St, Gillespie, IL 62033-1166 Ph: (217) 839-4491 |
Zuzana Jackevicius Killam, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-839-1526 Fax: 217-839-1538 | |
Sandra L Cania, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-839-1526 Fax: 217-839-1538 | |
Sheri Lynne Banovic, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 South Macoupin Street, Gillespie, IL 62033 Phone: 217-839-1526 | |
Samantha Thomas, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-839-1526 | |
Melinda S Edwards, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-839-1526 | |
Andrea Diane Mccabe, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 124 N Macoupin St, Gillespie, IL 62033 Phone: 217-839-3040 | |
Carol Candler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 East Maple Street, Maucoupin County Maple Street Clinic, Gillespie, IL 62033 Phone: 217-839-4100 |