| Renee Carter, | |
|
6918 Conestoga Trl, Loves Park, IL 61111-7155 | |
| (815) 979-2515 | |
| Not Available |
| Full Name | Renee Carter |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 6918 Conestoga Trl, Loves Park, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801505110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209025020 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fhn Memorial Hospital | Freeport, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cardiac Vision Llc | 6800192519 | 9 |
| Freeport Memorial Hospital | 8426958232 | 101 |
| Entity Name | Freeport Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447228788 PECOS PAC ID: 8426958232 Enrollment ID: O20040109000305 |
| Entity Name | Cardiac Vision Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275990707 PECOS PAC ID: 6800192519 Enrollment ID: O20160307001296 |
| Mailing Address | Practice Location Address |
|---|---|
| Renee Carter, 6918 Conestoga Trl, Loves Park, IL 61111-7155 Ph: (815) 979-2515 | Renee Carter, 6918 Conestoga Trl, Loves Park, IL 61111-7155 Ph: (815) 979-2515 |
Brandon N. Nierhoff, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9951 Rock Cut Xing, Loves Park, IL 61111 Phone: 815-639-8500 Fax: 815-639-8501 | |
Mrs. Kelly Stone, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1752 Windsor Rd Ste 203, Loves Park, IL 61111 Phone: 815-986-1113 | |
Jessica Knoll, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9951 Rock Cut Xing, Loves Park, IL 61111 Phone: 815-639-8500 Fax: 815-639-8501 | |
Mrs. Kayla Carey, PHMNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1752 Windsor Rd Ste 203, Loves Park, IL 61111 Phone: 815-986-1113 Fax: 815-986-1119 | |
Suzanne Stein, CRNA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Road, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 | |
Paula Bauman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9951 Rock Cut Xing, Loves Park, IL 61111 Phone: 815-639-8450 Fax: 815-639-8451 | |
Kathleen M Meade, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9951 Rock Cut Xing, Loves Park, IL 61111 Phone: 815-639-8500 Fax: 815-639-8501 |