Rebecca Elizabeth Renfroe, CNP | |
405 W Jackson St, Carbondale, IL 62901-1467 | |
(618) 549-0721 | |
Not Available |
Full Name | Rebecca Elizabeth Renfroe |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 405 W Jackson St, Carbondale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093450728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WR0006X | Registered Nurse - Registered Nurse First Assistant | 041466518 (Illinois) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 209.023102 (Illinois) | Primary |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
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 |
Entity Name | Rlh Urology Locum Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952991267 PECOS PAC ID: 5597172171 Enrollment ID: O20210326000788 |
Mailing Address | Practice Location Address |
---|---|
Rebecca Elizabeth Renfroe, CNP 702 S Tower Rd, Carbondale, IL 62901-5208 Ph: (270) 889-3870 | Rebecca Elizabeth Renfroe, CNP 405 W Jackson St, Carbondale, IL 62901-1467 Ph: (618) 549-0721 |
Miss Whitney Mcguire, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Ashley Nicole Mitchell, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Natasha Charlyn Shafer, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1340 Cedar Ct Ste 202, Carbondale, IL 62901 Phone: 618-529-7821 | |
Mrs. Jennifer Sue Campos, FNP-BC, CCRN, CMC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Lindsay B Casolari, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Andrea Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Monica L Nagele, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1175 Cedar Ct, Carbondale, IL 62901 Phone: 618-490-1045 |