Heather Samudovsky, PA-C | |
800 E Carpenter St, Springfield, IL 62769-4902 | |
(217) 544-6464 | |
Not Available |
Full Name | Heather Samudovsky |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Experience | 4 Years |
Location | 800 E Carpenter St, Springfield, 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 |
---|---|---|---|
1356962120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | 085-007904 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Johns Hospital | Springfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Springfield Clinic Llp | 0547166076 | 673 |
Mailing Address | Practice Location Address |
---|---|
Heather Samudovsky, PA-C 111 Oakwood Rd, East Peoria, IL 61611-1853 Ph: (309) 740-4272 | Heather Samudovsky, PA-C 800 E Carpenter St, Springfield, IL 62769-4902 Ph: (217) 544-6464 |
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