Kacey Panyik, APN CNM | |
2016 Vadalabene Dr, Maryville, IL 62062-6901 | |
(618) 288-2970 | |
(618) 288-3572 |
Full Name | Kacey Panyik |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 2016 Vadalabene Dr, Maryville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912366436 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 209013810 (Illinois) | Primary |
Entity Name | Maryville Womens Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356857171 PECOS PAC ID: 1557624400 Enrollment ID: O20180406001263 |
Mailing Address | Practice Location Address |
---|---|
Kacey Panyik, APN CNM 2016 Vadalabene Dr, Maryville, IL 62062-6901 Ph: (618) 288-2970 | Kacey Panyik, APN CNM 2016 Vadalabene Dr, Maryville, IL 62062-6901 Ph: (618) 288-2970 |
Janet Anne Woloszynek, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 6805 State Route 162 Ste 201, Maryville, IL 62062 Phone: 618-288-5019 Fax: 618-255-5059 | |
Ms. Diana Lynn Herrick, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2016 Vadalabene Dr, Maryville, IL 62062 Phone: 618-288-2970 Fax: 618-288-3572 |