Si Medical, Inc. is a
Nurse Practitioner - Primary Care based in Marion, Illinois. Si Medical, Inc. is licensed to practice in Illinois (license number 209.005527) and their current practice location is
1909 W Coolidge Ave, Marion, Illinois. It can be reached at their office (for appointments etc.) via phone at
(618) 997-5677.
NPI number for Si Medical, Inc. is 1659632602 and their current mailing address is 1909 W Coolidge Ave, Marion, Illinois. Si Medical, Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1659632602.
Healthcare Provider's Profile
Full Name | Si Medical, Inc. |
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Type | Facility |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 1909 W Coolidge Ave, Marion, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659632602
- Provider Enumeration Date: 06/06/2012
- Last Update Date: 05/20/2014
Medical Identifiers
Medical identifiers for Si Medical, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659632602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 164.003714 (Illinois) | Secondary |
363AM0700X | Physician Assistant - Medical | 85.003452 (Illinois) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 209.002243 (Illinois) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 209.005527 (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. Si Medical, Inc. 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 Address | Practice Location Address |
Si Medical, Inc. 1909 W Coolidge Ave, Marion, IL 62959-1097 Ph: (618) 997-5677 | Si Medical, Inc. 1909 W Coolidge Ave, Marion, IL 62959-1097 Ph: (618) 997-5677 |
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