Mrs Theresa Mcfadin, FNP-C | |
6100 Illini Trl, Waterloo, IL 62298-3547 | |
(618) 616-4782 | |
Not Available |
Full Name | Mrs Theresa Mcfadin |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 6100 Illini Trl, Waterloo, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831553908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209013900 (Illinois) | Primary |
363LF0000X | Nurse Practitioner - Family | 2015040590 (Missouri) | Secondary |
Entity Name | Granite City Emergency Medicine Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861946626 PECOS PAC ID: 7012205784 Enrollment ID: O20161012001300 |
Entity Name | Emergency Services Midwest Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174024806 PECOS PAC ID: 2769746056 Enrollment ID: O20180515000619 |
Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
Entity Name | Ahs Il Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659098101 PECOS PAC ID: 5496111676 Enrollment ID: O20230512001300 |
Mailing Address | Practice Location Address |
---|---|
Mrs Theresa Mcfadin, FNP-C 6100 Illini Trl, Waterloo, IL 62298-3547 Ph: (618) 616-4782 | Mrs Theresa Mcfadin, FNP-C 6100 Illini Trl, Waterloo, IL 62298-3547 Ph: (618) 616-4782 |
Mr. Matthew Robert Jones, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 509 Hamacher St Ste 202, Waterloo, IL 62298 Phone: 618-939-4200 Fax: 618-939-4256 | |
Courtney Mccarty, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 224 Bradford Ln, Waterloo, IL 62298 Phone: 618-939-0112 Fax: 618-939-0119 | |
Ms. Carol Ann Glascock, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 723 Station Xing, Waterloo, IL 62298 Phone: 618-939-1551 Fax: 618-939-1553 | |
Stephanie Lynn Muertz, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6461 Old Orchard Ln, Waterloo, IL 62298 Phone: 618-340-1885 | |
Megan Roberts, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 224 Bradford Ln, Waterloo, IL 62298 Phone: 618-939-0112 | |
Tracy M Hasler, RN ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 509 Hamacher St, Suite 103, Waterloo, IL 62298 Phone: 618-939-2273 Fax: 618-939-0245 | |
Tiffany Hosp, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 N Illinois Route 3, Waterloo, IL 62298 Phone: 313-948-3055 |