Amy Jo Blandford, APRN | |
3333 W Deyoung St, Marion, IL 62959-5884 | |
(618) 998-7000 | |
Not Available |
Full Name | Amy Jo Blandford |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 3333 W Deyoung St, Marion, 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 |
---|---|---|---|
1598240145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.018153 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physician Services Corporation Of Southern Illinois Inc | 9234022567 | 100 |
Entity Name | Physician Services Corporation Of Southern Illinois Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
Entity Name | Southern Illinois Dermatology, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306870233 PECOS PAC ID: 2769479203 Enrollment ID: O20040427001593 |
Entity Name | Marion Diagnostic Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366543084 PECOS PAC ID: 0749289833 Enrollment ID: O20061219000431 |
Mailing Address | Practice Location Address |
---|---|
Amy Jo Blandford, APRN 1801 Mulligan Dr, Marion, IL 62959-7639 Ph: (618) 521-6561 | Amy Jo Blandford, APRN 3333 W Deyoung St, Marion, IL 62959-5884 Ph: (618) 998-7000 |
Era Louise Mattingly, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11522 White Pine Ave, Marion, IL 62959 Phone: 618-889-4834 | |
Jessie Nicole Fox, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2808 Outer Dr, Marion, IL 62959 Phone: 618-993-3817 | |
Ms. Peggy Boyd, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3106 Outer Dr, Marion, IL 62959 Phone: 618-997-4332 Fax: 618-997-6205 | |
Donna R Walters, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3408 Office Park Dr, Marion, IL 62959 Phone: 618-997-5266 Fax: 618-997-5285 | |
Mrs. Holly Ann Gates, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3111 Williamson County Pkwy, Marion, IL 62959 Phone: 618-519-9200 Fax: 618-985-9155 | |
Rhonda Raye Heatherly, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 S Vicksburg St, Marion, IL 62959 Phone: 618-998-1900 | |
Michelle Wharton, APN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3412 Office Park Dr, Marion, IL 62959 Phone: 618-993-0404 |