| Mubangu Mado Mandamuna, | |
|
201 N Randolph St, Champaign, IL 61820-3935 | |
| (877) 726-6494 | |
| Not Available |
| Full Name | Mubangu Mado Mandamuna |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 201 N Randolph St, 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 |
|---|---|---|---|
| 1588333033 | NPI | - | NPPES |
| Entity Name | Molina Care Connections, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20180301000229 |
| Mailing Address | Practice Location Address |
|---|---|
| Mubangu Mado Mandamuna, 3723 Summer Sage Ct, Champaign, IL 61822-1907 Ph: Not Available | Mubangu Mado Mandamuna, 201 N Randolph St, Champaign, IL 61820-3935 Ph: (877) 726-6494 |
Emily Stephenson, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 64 E Chester St Ste 106, Champaign, IL 61820 Phone: 217-778-2188 Fax: 888-252-7228 |
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 |
Lynn P Keller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-2849 Fax: 217-365-2854 |
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: Medicare Enrolled 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 |