Dylan Wayne Stennett, NP | |
303 Nw 11th St, Fairfield, IL 62837-1203 | |
(618) 842-4617 | |
Not Available |
Full Name | Dylan Wayne Stennett |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 303 Nw 11th St, Fairfield, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548657158 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209012122 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fairfield Memorial Hospital 1 | Fairfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairfield Memorial Hospital Association | 5698671741 | 24 |
Entity Name | Fairfield Memorial Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649442419 PECOS PAC ID: 5698671741 Enrollment ID: O20041124000368 |
Entity Name | Midwest Emergency Anderson Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710647615 PECOS PAC ID: 8022401256 Enrollment ID: O20220210000357 |
Entity Name | Midwest Inpatient Anderson Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821758608 PECOS PAC ID: 3072908474 Enrollment ID: O20220322002045 |
Mailing Address | Practice Location Address |
---|---|
Dylan Wayne Stennett, NP 303 Nw 11th St, Fairfield, IL 62837-1203 Ph: (618) 842-4617 | Dylan Wayne Stennett, NP 303 Nw 11th St, Fairfield, IL 62837-1203 Ph: (618) 842-4617 |
Courtney Robertson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 Nw 10th St Ste A, Fairfield, IL 62837 Phone: 618-842-4617 | |
Joann Smith, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 Nw 10th St, Fairfield, IL 62837 Phone: 618-842-4617 | |
Sherry L Mewes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 Nw 10th St Ste A, Fairfield, IL 62837 Phone: 618-842-4617 | |
Stephen Welty, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 Nw 10th St Ste A, Fairfield, IL 62837 Phone: 618-842-4617 | |
Misty D Stone, APN FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 Nw 11th St, Fairfield, IL 62837 Phone: 618-842-4617 | |
Vicki Lynn Wyatt, APN RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 303 Nw 11th St, Fairfield, IL 62837 Phone: 618-842-2611 |