Cassandra Vestal, | |
108 N Division St, Carterville, IL 62918-1245 | |
(618) 985-3929 | |
(618) 985-9276 |
Full Name | Cassandra Vestal |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 108 N Division St, Carterville, 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 |
---|---|---|---|
1790346419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209019546 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pain Management Center Sc | 6709840358 | 2 |
Select Physical Therapy Holdings Inc | 9537076401 | 1557 |
Entity Name | Pain Management Center Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801077243 PECOS PAC ID: 6709840358 Enrollment ID: O20041115000490 |
Mailing Address | Practice Location Address |
---|---|
Cassandra Vestal, 108 N Division St, Carterville, IL 62918-1245 Ph: (618) 985-3929 | Cassandra Vestal, 108 N Division St, Carterville, IL 62918-1245 Ph: (618) 985-3929 |
Ms. Morgan A Gant, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 W Plaza Dr, Carterville, IL 62918 Phone: 618-985-4344 Fax: 618-985-6469 | |
Mary K Chapman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Pin Oak Dr, Carterville, IL 62918 Phone: 618-985-3333 Fax: 618-985-1307 | |
Trisha Lynn Phemister, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 308 W Plaza Dr, Carterville, IL 62918 Phone: 618-985-4344 Fax: 618-985-6469 | |
Teresa Johnson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1006 S Division St, Carterville, IL 62918 Phone: 618-519-9200 Fax: 618-985-3774 | |
Cathy D Bless, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1006 S Division St, Carterville, IL 62918 Phone: 618-985-4841 Fax: 618-985-8101 | |
Molly Price, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 310 W Plaza Dr, Carterville, IL 62918 Phone: 618-985-4344 Fax: 833-991-3991 |