| Ms Mary Katherine Pendleton, APRN | |
|
1658 S Il Route 2, Oregon, IL 61061-9514 | |
| (815) 732-2499 | |
| (815) 732-6077 |
| Full Name | Ms Mary Katherine Pendleton |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 1658 S Il Route 2, Oregon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194788992 | NPI | - | NPPES |
| 209014306 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 209014306 (Illinois) | Primary |
| Entity Name | Journeycare, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154324994 PECOS PAC ID: 2062578305 Enrollment ID: O20090512000566 |
| Entity Name | Chestnut Health Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588043939 PECOS PAC ID: 2264747344 Enrollment ID: O20150819006369 |
| Entity Name | Serenity Hospice And Home |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184661100 PECOS PAC ID: 7214088954 Enrollment ID: O20171120000762 |
| Entity Name | Applebaum Physiatry Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700598059 PECOS PAC ID: 8729453436 Enrollment ID: O20230412000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mary Katherine Pendleton, APRN Po Box 462, Oregon, IL 61061-0462 Ph: (815) 732-2499 | Ms Mary Katherine Pendleton, APRN 1658 S Il Route 2, Oregon, IL 61061-9514 Ph: (815) 732-2499 |
Karen Ries, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1307 W Washington St, Oregon, IL 61061 Phone: 815-732-3151 Fax: 815-732-3718 | |
Mindy Nesemeier, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1307 Washington St, Oregon, IL 61061 Phone: 815-732-3151 Fax: 815-732-3718 | |
Margaret Ann White, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1658 S Il Route 2, Oregon, IL 61061 Phone: 815-732-2499 Fax: 815-732-6077 |