Leslie Ann Hickman, NP | |
405 Rushing Dr, Herrin, IL 62948-3730 | |
(618) 993-3300 | |
(618) 993-0262 |
Full Name | Leslie Ann Hickman |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 405 Rushing Dr, Herrin, 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 |
---|---|---|---|
1184196883 | NPI | - | NPPES |
209.018346 | Other | IL | ILLINOIS ADVANCE PRACTICE NURSE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209.018346 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lbn Residential Home Health Of Southern Illinois | Marion, IL | Home health agency |
Lhc-illinois Home Health Care | Marion, IL | Home health agency |
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
Heartland Regional Medical Center | Marion, IL | Hospital |
Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Illinois Medical Services Nfp | 3678677390 | 252 |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Mailing Address | Practice Location Address |
---|---|
Leslie Ann Hickman, NP Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Leslie Ann Hickman, NP 405 Rushing Dr, Herrin, IL 62948-3730 Ph: (618) 993-3300 |
Antoinette Marie Miller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lincoln Dr, Herrin, IL 62948 Phone: 189-970-1666 Fax: 618-998-8055 | |
Anna Szyfer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4917 | |
Amy Leeann Miller, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lincoln Dr, Herrin, IL 62948 Phone: 618-993-0056 Fax: 618-993-0752 | |
Hope E Hargraves, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6179 | |
Mrs. Deanna L. Tacderas, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 317 S 14th St, Herrin, IL 62948 Phone: 618-988-6171 Fax: 618-988-6172 | |
Victoria Dare, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 Rushing Dr, Herrin, IL 62948 Phone: 618-993-3300 Fax: 618-993-0262 |