| Gabriel A Martin, PA-C | |
|
117 E Clark St, Harrisburg, IL 62946-2702 | |
| (618) 252-8625 | |
| (618) 351-4859 |
| Full Name | Gabriel A Martin |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 117 E Clark St, Harrisburg, 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 |
|---|---|---|---|
| 1376680462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085002604 (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 |
|---|---|---|
| Southern Illinois Medical Services Nfp | 3678677390 | 252 |
| Harrisburg Medical Center Inc | 9638083884 | 16 |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriel A Martin, PA-C Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Gabriel A Martin, PA-C 117 E Clark St, Harrisburg, IL 62946-2702 Ph: (618) 252-8625 |
Ms. Pennie Lowanda Smith, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 205 N Main St, Harrisburg, IL 62946 Phone: 618-253-8450 Fax: 618-253-8454 | |
Kelly L Phelps, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-252-2540 | |
Ms. Elizabeth Ann Bebout, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 205 N Main St, Harrisburg Medical Clinic, Harrisburg, IL 62946 Phone: 618-253-8450 Fax: 618-253-8454 | |
Ms. Leanne H Deneal, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 28 Veteran's Drive, Harrisburg, IL 62946 Phone: 618-993-0404 Fax: 618-993-1717 |