Roger Young, NP | |
1250 W Whittaker St, Salem, IL 62881-1917 | |
(618) 548-3740 | |
(618) 548-3705 |
Full Name | Roger Young |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 44 Years |
Location | 1250 W Whittaker St, Salem, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952399511 | NPI | - | NPPES |
110230526 | Other | IL | RAILROAD MEDICARE |
207988 | Other | IL | GRP MEDICARE NUMBER |
CJ2166 | Other | IL | RR MEDICARE GROUP NUMBER |
500025714 | Other | IL | RAILROAD MEDICARE NUMBER |
208959 | Other | IL | GRP MEDICARE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 041255812 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Salem Township Hospital | Salem, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Salem Township Hospital | 0840195277 | 29 |
Entity Name | Salem Township Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295739548 PECOS PAC ID: 0840195277 Enrollment ID: O20031126000688 |
Mailing Address | Practice Location Address |
---|---|
Roger Young, NP 1250 W Whittaker St, Salem, IL 62881-1917 Ph: (618) 548-3740 | Roger Young, NP 1250 W Whittaker St, Salem, IL 62881-1917 Ph: (618) 548-3740 |
Kathern Joan Norman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 W Whittaker St, Salem, IL 62881 Phone: 618-548-3740 | |
Rachel Benjamin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Ricker Rd, Salem, IL 62881 Phone: 618-900-1070 | |
Melissa J Kohnen, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1275 Hawthorn Rd, Salem, IL 62881 Phone: 618-548-4590 Fax: 618-548-8275 | |
Tamara Dee Foltz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 W Whittaker St, Salem, IL 62881 Phone: 618-548-3740 Fax: 618-548-3705 | |
Mrs. Deborah L Malone, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1275 Hawthorn Rd, Salem, IL 62881 Phone: 618-548-4545 Fax: 618-548-4577 | |
Ms. Amy L. Mclean, APRN, NP-C, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1275 Hawthorn Rd, Salem, IL 62881 Phone: 618-548-4545 Fax: 618-545-4577 | |
Crea Rose, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 126 N Hotze Rd, Salem, IL 62881 Phone: 618-495-4241 Fax: 618-495-4143 |