Jacqueline R Clayton, APN | |
1215 W Main St, Shelbyville, IL 62565-1252 | |
(217) 774-4305 | |
(217) 774-4306 |
Full Name | Jacqueline R Clayton |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1215 W Main St, Shelbyville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821019969 | NPI | - | NPPES |
309003069 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 277000144 (Illinois) | Primary |
363LF0000X | Nurse Practitioner - Family | 209-006100 (Illinois) | Secondary |
Entity Name | Sarah Bush Lincoln Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline R Clayton, APN 1005 Health Center Dr Ste 201, Mattoon, IL 61938-4693 Ph: (217) 238-6055 | Jacqueline R Clayton, APN 1215 W Main St, Shelbyville, IL 62565-1252 Ph: (217) 774-4305 |
Cassie Ann Abendroth, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 415 N Cedar St, Shelbyville, IL 62565 Phone: 217-774-2900 | |
Macy Michelle Collins, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 S Cedar St, Shelbyville, IL 62565 Phone: 217-774-4400 Fax: 217-774-6445 | |
Sarah E Massey, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 S Cedar St, Shelbyville, IL 62565 Phone: 217-774-4400 Fax: 217-774-6445 | |
Mrs. Shelle D Sloan, APN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 S Cedar St, Shelbyville, IL 62565 Phone: 217-774-4400 Fax: 217-774-6445 | |
Andrew Kirkley, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 S Cedar St, Shelbyville, IL 62565 Phone: 217-774-3806 | |
Mrs. Rachel Elaine Walton, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 N Cedar St, Shelbyville, IL 62565 Phone: 217-774-2900 Fax: 217-774-2902 | |
Shelbi N Birch, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 W Main St, Shelbyville, IL 62565 Phone: 217-774-4305 Fax: 217-774-4306 |