Michaela Davis, FNP | |
1564 S Washington St, Du Quoin, IL 62832-3849 | |
(618) 542-8702 | |
(618) 542-8792 |
Full Name | Michaela Davis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 1564 S Washington St, Du Quoin, 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 |
---|---|---|---|
1205387651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041445136 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209024151 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Marshall Browning Hospital | Du quoin, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christopher Greater Area Rural Health Planning Corporation | 8224947387 | 48 |
Entity Name | Christopher Greater Area Rural Health Planning Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073816542 PECOS PAC ID: 8224947387 Enrollment ID: O20040109000561 |
Mailing Address | Practice Location Address |
---|---|
Michaela Davis, FNP Po Box 155, Christopher, IL 62822-0155 Ph: (618) 724-1633 | Michaela Davis, FNP 1564 S Washington St, Du Quoin, IL 62832-3849 Ph: (618) 542-8702 |
Ellen M Chapman Pogue, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 N Washington St, Suite 2, Du Quoin, IL 62832 Phone: 618-542-2129 Fax: 618-542-2903 | |
Katherine Laird, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 N Washington St, Du Quoin, IL 62832 Phone: 618-542-2129 Fax: 618-542-2903 | |
Jill Marie Fairbanks, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1564 S Washington St, Du Quoin, IL 62832 Phone: 618-542-8702 Fax: 618-542-8792 | |
Ms. Cathy Melissa Troue, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Gas Plant Rd, Du Quoin, IL 62832 Phone: 618-790-2146 Fax: 618-790-2147 | |
Mrs. Elizabeth L. Harbison, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 N Washington St, Du Quoin, IL 62832 Phone: 618-542-1050 | |
Kelli R Bean, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 Gas Plant Rd, Du Quoin, IL 62832 Phone: 618-790-2146 | |
Danielle Klump, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 N Washington Street, Du Quoin, IL 62832 Phone: 217-788-0706 |