Ms Peggy Boyd, CNP | |
3106 Outer Dr, Marion, IL 62959-5270 | |
(618) 997-4332 | |
(618) 997-6205 |
Full Name | Ms Peggy Boyd |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 3106 Outer Dr, Marion, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053531541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209-006244 (Illinois) | Primary |
Entity Name | Premise Health Of Illinois Medical, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427366921 PECOS PAC ID: 3971764762 Enrollment ID: O20120423000619 |
Entity Name | Advanced Surgical Technology, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497159024 PECOS PAC ID: 3274857685 Enrollment ID: O20150113000768 |
Mailing Address | Practice Location Address |
---|---|
Ms Peggy Boyd, CNP 3106 Outer Dr, Marion, IL 62959-5270 Ph: (618) 997-4332 | Ms Peggy Boyd, CNP 3106 Outer Dr, Marion, IL 62959-5270 Ph: (618) 997-4332 |
Era Louise Mattingly, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11522 White Pine Ave, Marion, IL 62959 Phone: 618-889-4834 | |
Jessie Nicole Fox, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2808 Outer Dr, Marion, IL 62959 Phone: 618-993-3817 | |
Donna R Walters, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3408 Office Park Dr, Marion, IL 62959 Phone: 618-997-5266 Fax: 618-997-5285 | |
Mrs. Holly Ann Gates, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3111 Williamson County Pkwy, Marion, IL 62959 Phone: 618-519-9200 Fax: 618-985-9155 | |
Rhonda Raye Heatherly, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 S Vicksburg St, Marion, IL 62959 Phone: 618-998-1900 | |
Michelle Wharton, APN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3412 Office Park Dr, Marion, IL 62959 Phone: 618-993-0404 |