Dietra Angelly has Nurse Practitioner as her primary medical specialty. Their primary office is: 205 Bailey Ln in Benton, Illinois.
There are 2 additional office locations for Dietra Angelly that can be viewed towards the end of their profile.
They're a part of the: Deaconess Illinois Clinic Inc medical group which has around 18 members. You can call their office at 618-882-4200 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, her university is not listed and graduated in 2018 (around 6 years of experience). They are not listed as doing telehealth appointments, but this may have changed. It can't hurt to call and check. If anything it may encourage them to make them available if they are not currently.
Dietra Angelly
Deaconess Illinois Clinic Inc
205 Bailey Ln
Benton, Illinois 62812
618-882-4200
Phone: 618-882-4200
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Medical School: Sorry, her university is not listed
Graduation Year: 2018
The Primary Medical Specialty for Dietra Angelly is listed as: Nurse Practitioner
Approximate Years of Experience: 6
PAC (PECOS ID)#: 9931356276
NPI #: 1902371313
NPI Created On: 10/11/2018
NPI Last Updated Listed as: 01/05/2023
Primary Taxonomy Code: 363L00000X
License Number:
209018044
Listed Gender: Female
Services and Procedures include:
Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.
Payments Total: $15
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 792998905
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: HYPERHYDROSIS
Name of Drug #1: BOTOX
Open Associated Drug #1: 0023-1145-01
1. Deaconess Illinois Clinic Inc
303 S Commercial St
Harrisburg, IL 62946
Group Members: 18
Phone: 618-882-4200
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2. Deaconess Illinois Specialty Clinic, Inc.
2700 W Deyoung St
Marion, IL 62959
Group Members: 84
Phone: 618-882-4200
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1104 W Main St
Benton, IL
Select Physical Therapy Holdings Inc
501 N Du Quoin St
Benton, IL
Physician Services Corporation Of Southern Illinois Inc
201 Bailey Lane
Benton, IL
Franklin Hospital District
205 Bailey Ln
Benton, IL
Deaconess Illinois Clinic Inc
1104 W Main St
Benton, IL
Select Physical Therapy Holdings Inc
1104 W Main St
Benton, IL
Select Physical Therapy Holdings Inc
2700 W Deyoung St
Marion Il 62959-4943
Deaconess Illinois Clinic Inc
Family Practice
205 Bailey Ln
Benton Il 62812-1921
Deaconess Illinois Clinic Inc
Nurse Practitioner
303 S Commercial St
Harrisburg Il 62946-2125
Deaconess Illinois Clinic Inc
Nurse Practitioner
3329 W Deyoung St
Marion Il 62959-5884
Deaconess Illinois Clinic Inc
Family Practice
1000 Eleven S
Columbia Il 62236-1077
Deaconess Illinois Clinic Inc
Nurse Practitioner
509 Hamacher St
Waterloo Il 62298-1592
Deaconess Illinois Clinic Inc
Nurse Practitioner
View all 18 members of Deaconess Illinois Clinic Inc medical group