Mrs Carrie Jean Koger, APRN | |
319 E Madison St, Springfield, IL 62701-1035 | |
(217) 788-3948 | |
Not Available |
Full Name | Mrs Carrie Jean Koger |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 319 E Madison St, Springfield, 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 |
---|---|---|---|
1922762798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.024242 (Illinois) | Primary |
163W00000X | Registered Nurse | 041.394318 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Medical Center | Springfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Medical Center | 7315835949 | 111 |
Entity Name | Memorial Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033171343 PECOS PAC ID: 7315835949 Enrollment ID: O20040305000989 |
Mailing Address | Practice Location Address |
---|---|
Mrs Carrie Jean Koger, APRN 6630 Coolidge Dr, Cantrall, IL 62625-8885 Ph: (217) 971-4455 | Mrs Carrie Jean Koger, APRN 319 E Madison St, Springfield, IL 62701-1035 Ph: (217) 788-3948 |
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Rebecca L Saunders, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 N 8th St, Pav 4b, Springfield, IL 62701 Phone: 217-545-7500 Fax: 217-545-7305 | |
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