Ms Carol Sue Fairless, RN - Registered Nurse in Vienna, IL

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Ms Carol Sue Fairless, RN is a Registered Nurse - Psychiatric/mental Health based in Vienna, Illinois. Ms Carol Sue Fairless is licensed to practice in Illinois (license number ) and her current practice location is 408 E Vine St, Vienna, Illinois. She can be reached at her office (for appointments etc.) via phone at (618) 658-2611.

NPI number for Ms Carol Sue Fairless is 1619080082 and her current mailing address is 303 Country Vlg, Vienna, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619080082.

Contact Information

Ms Carol Sue Fairless, RN
408 E Vine St,
Vienna, IL 62995-1612
(618) 658-2611
(618) 658-2501

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Provider's Profile

Full NameMs Carol Sue Fairless
GenderFemale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location408 E Vine St, Vienna, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619080082
  • Provider Enumeration Date: 08/17/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ms Carol Sue Fairless such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619080082NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0400XRegistered Nurse - Case Management (Illinois)Primary
163WP0808XRegistered Nurse - Psychiatric/mental Health (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Carol Sue Fairless is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Carol Sue Fairless, RN
303 Country Vlg,
Vienna, IL 62995-1643

Ph: (618) 658-9295		Ms Carol Sue Fairless, RN
408 E Vine St,
Vienna, IL 62995-1612

Ph: (618) 658-2611

Reviews and Comments


Registered Nurse Nurses in Vienna, IL

Elizabeth Miller, RN, QMHP
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 101 Oliver St, Vienna, IL 62995
Phone: 618-658-2611    Fax: 618-658-2501

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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