| Laura R Kidd, PA | |
|
305 W Jackson St Ste 200, Carbondale, IL 62901-1474 | |
| (618) 536-6621 | |
| (618) 453-1102 |
| Full Name | Laura R Kidd |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 305 W Jackson St Ste 200, Carbondale, 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 |
|---|---|---|---|
| 1396842480 | NPI | - | NPPES |
| 085-002750 | Other | IL | PHYSICIAN ASSISTANT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085.002750 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| Franklin Hospital | Benton, IL | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Hospital Services | 2961310966 | 15 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura R Kidd, PA 305 W Jackson St Ste 200, Carbondale, IL 62901-1474 Ph: (618) 536-6621 | Laura R Kidd, PA 305 W Jackson St Ste 200, Carbondale, IL 62901-1474 Ph: (618) 536-6621 |
Mr. Lukas Ward, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0479 | |
Ms. Britney Nicole Arnold, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 | |
Joeli Diemer, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-536-6621 | |
Ms. Nicole A Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Mr. Michael Leroy Matteson, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St, Suite 105, Carbondale, IL 62901 Phone: 618-536-2565 Fax: 618-536-2835 | |
John Howard Davidson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 | |
Kilmeny Clark, Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-453-8850 |