Marissa Paige Mahan, DNP, FNP-BC | |
101 E Plummer Blvd, Chatham, IL 62629-8047 | |
(217) 483-3487 | |
(217) 483-8150 |
Full Name | Marissa Paige Mahan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 101 E Plummer Blvd, Chatham, 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 |
---|---|---|---|
1215531264 | NPI | - | NPPES |
041443199 | Other | IL | RN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2020014749 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209021387 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Medical Center | Springfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Physician Services | 9032005681 | 165 |
Entity Name | Memorial Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417922964 PECOS PAC ID: 9032005681 Enrollment ID: O20040223000454 |
Mailing Address | Practice Location Address |
---|---|
Marissa Paige Mahan, DNP, FNP-BC 101 E Plummer Blvd, Chatham, IL 62629-8047 Ph: (217) 483-3487 | Marissa Paige Mahan, DNP, FNP-BC 101 E Plummer Blvd, Chatham, IL 62629-8047 Ph: (217) 483-3487 |
Mirjam J Naughton, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 E Plummer Blvd, Chatham, IL 62629 Phone: 217-588-2600 Fax: 217-862-0202 | |
Kathleen A Sigle, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 E Plummer Blvd, Chatham, IL 62629 Phone: 217-483-3487 Fax: 217-483-8150 | |
Alexis Brumfield, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 E Plummer Blvd, Chatham, IL 62629 Phone: 217-483-3487 | |
Amy Angeli, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 E Plummer Blvd, Chatham, IL 62629 Phone: 217-483-3487 Fax: 217-483-8150 | |
Nicole M Beard, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 E Plummer Blvd, Chatham, IL 62629 Phone: 217-588-2600 Fax: 217-862-0202 | |
Katie Sloman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 E Plummer Blvd, Chatham, IL 62629 Phone: 217-483-3487 Fax: 217-483-8150 |