| Mallory Renee Wittig, FNP | |
|
12 Hospital Dr, Metropolis, IL 62960-2461 | |
| (618) 524-2182 | |
| (618) 524-2451 |
| Full Name | Mallory Renee Wittig |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 12 Hospital Dr, Metropolis, 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 |
|---|---|---|---|
| 1114285517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209009469 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Residential Home Health Of Southern Illinois, Llc | Marion, IL | Home health agency |
| Mercy Health - Home Care, Paducah | Paducah, KY | Home health agency |
| Baptist Health Home Care Ky, Llc Dba Baptist Home Health Care | Louisville, KY | Home health agency |
| Hospice Of Southern Illinois, Inc | Belleville, IL | Hospice |
| Massac Memorial Hospital | Metropolis, IL | Hospital |
| Baptist Health Paducah | Paducah, KY | Hospital |
| Southgate Health Care Center | Metropolis, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Massac Memorial Hospital | 3072422799 | 15 |
| Entity Name | Massac Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790788578 PECOS PAC ID: 3072422799 Enrollment ID: O20040322000487 |
| Entity Name | Massac Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1790788578 PECOS PAC ID: 3072422799 Enrollment ID: O20071107000747 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Renee Wittig, FNP 12 Hospital Dr, Metropolis, IL 62960-2461 Ph: (618) 524-2182 | Mallory Renee Wittig, FNP 12 Hospital Dr, Metropolis, IL 62960-2461 Ph: (618) 524-2182 |
Theresa Renee Curlin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 W 10th St, Metropolis, IL 62960 Phone: 618-524-3795 Fax: 618-524-3211 |
John Larrison, APN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28 Chick St Ste 100, Metropolis, IL 62960 Phone: 618-524-2176 Fax: 618-524-4131 |
Alyce Hannan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Hospital Dr, Metropolis, IL 62960 Phone: 618-524-2182 |
Christy Kennedy, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28 Chick St, Metropolis, IL 62960 Phone: 618-638-1343 |
Jessica Jean Wright, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1204 W 10th St, Metropolis, IL 62960 Phone: 618-524-3572 |
Ashley Dawn Suggs, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1204 W 10th St, Metropolis, IL 62960 Phone: 618-524-3572 |
Cheryl L Brookshier, APNCFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1203 W 10th St, Metropolis, IL 62960 Phone: 618-524-3795 Fax: 618-524-3211 |