Beth Angle, - Licensed Practical Nurse in Centralia, IL

Beth Angle, is a Licensed Practical Nurse based in Centralia, Illinois. Beth Angle is licensed to practice in Illinois (license number 043123661) and her current practice location is 904 E. Martin Luther King Drive, Centralia, Illinois. She can be reached at her office (for appointments etc.) via phone at (618) 533-1391.

NPI number for Beth Angle is 1639683824 and her current mailing address is 904 E. Martin Luther King Drive, Centralia, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639683824.

Contact Information

Beth Angle,
904 E. Martin Luther King Drive,
Centralia, IL 62801-3058
(618) 533-1391
(618) 533-0012



Provider's Profile

Full NameBeth Angle
GenderFemale
SpecialityLicensed Practical Nurse
Location904 E. Martin Luther King Drive, Centralia, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1639683824
  • Provider Enumeration Date: 11/27/2017
  • Last Update Date: 11/27/2017

Medical Identifiers

Medical identifiers for Beth Angle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639683824NPI-NPPES
370915481007MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 043123661 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Beth Angle is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Beth Angle,
904 E. Martin Luther King Drive,
Centralia, IL 62801-3058

Ph: (618) 533-1391
Beth Angle,
904 E. Martin Luther King Drive,
Centralia, IL 62801-3058

Ph: (618) 533-1391

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› Verified 3 days ago


Licensed Practical Nurse Nurses in Centralia, IL

Czareenah Dela Cruz Apostol,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 904 E Martin Luther King Dr, Centralia, IL 62801
Phone: 618-533-1391    Fax: 618-533-0012
Eydie Gass,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 904 M L King Dr, Centralia, IL 62801
Phone: 618-533-1391    

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