Mr Scott J Davis, NP-C | |
1310 N Main St Ste 200, Sandwich, IL 60548-1397 | |
(815) 786-7150 | |
(815) 786-3785 |
Full Name | Mr Scott J Davis |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 14 Years |
Location | 1310 N Main St Ste 200, Sandwich, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518269539 | NPI | - | NPPES |
IL6309 | Other | IL | MEDICARE GROUP |
F400101031 | Other | IL | MEDICARE INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.008413 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209008413 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Dupage Hospital | Winfield, IL | Hospital |
Valley West Community Hospital | Sandwich, IL | Hospital |
Kishwaukee Community Hospital | Dekalb, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Dupage Physician Group | 5890696231 | 977 |
Advanced Physicians Sc | 6103879713 | 13 |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Entity Name | Advanced Physicians Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124075288 PECOS PAC ID: 6103879713 Enrollment ID: O20050223000649 |
Entity Name | Kishwaukee Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932480605 PECOS PAC ID: 3870768054 Enrollment ID: O20111216000435 |
Entity Name | Hmv Diagnostics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043460744 PECOS PAC ID: 8123172020 Enrollment ID: O20150903001057 |
Mailing Address | Practice Location Address |
---|---|
Mr Scott J Davis, NP-C 1310 N Main St Ste 200, Sandwich, IL 60548-1397 Ph: (815) 786-7150 | Mr Scott J Davis, NP-C 1310 N Main St Ste 200, Sandwich, IL 60548-1397 Ph: (815) 786-7150 |
Stephanie Schuster, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1310 N Main St Ste 200, Sandwich, IL 60548 Phone: 815-786-7150 Fax: 815-786-7153 | |
Mrs. Lindsey Dunsheath, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1310 N Main St, Suite 209, Sandwich, IL 60548 Phone: 815-786-1967 | |
Mrs. Jenise Ervin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 142 Indian Springs Dr, Sandwich, IL 60548 Phone: 800-971-8293 | |
Emily Catherine Ochoa, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1310 N Main St, Sandwich, IL 60548 Phone: 815-786-7150 Fax: 815-786-3785 | |
Jill Newberg, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 E County Line Rd Ste B, Sandwich, IL 60548 Phone: 815-786-2722 | |
Mrs. Yolanda Chenoweth, APRN FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1310 N Main St Ste 209, Sandwich, IL 60548 Phone: 815-786-1967 |