Angela Lea O'dell, NP | |
502 W Saint Louis St, West Frankfort, IL 62896-1968 | |
(618) 937-3400 | |
(618) 997-9324 |
Full Name | Angela Lea O'dell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 502 W Saint Louis St, West Frankfort, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831196120 | NPI | - | NPPES |
200458610 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 277000354 (Illinois) | Primary |
Entity Name | Southern Illinois Medical Services Nfp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Mailing Address | Practice Location Address |
---|---|
Angela Lea O'dell, NP Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Angela Lea O'dell, NP 502 W Saint Louis St, West Frankfort, IL 62896-1968 Ph: (618) 937-3400 |
Adam Waller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 W Saint Louis St Ste 4, West Frankfort, IL 62896 Phone: 618-937-3400 Fax: 618-997-9324 | |
Kendra Megan Fischer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 309 W Saint Louis St, West Frankfort, IL 62896 Phone: 618-932-8375 Fax: 618-932-8575 | |
Moya Racquel Cook, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 502 W St Louis St, West Frankfort, IL 62896 Phone: 618-937-3400 Fax: 618-937-3407 | |
Mrs. Krysten Taylor Whitehead, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 909 W Main St, West Frankfort, IL 62896 Phone: 618-372-6040 | |
Max A Baier, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2553 Ken Gray Blvd, West Frankfort, IL 62896 Phone: 618-932-3937 Fax: 618-932-2734 |