Sandra D Frey, FNP | |
2040 Lincoln Ave Ste 100, Charleston, IL 61920-3197 | |
(217) 345-2030 | |
(217) 345-2045 |
Full Name | Sandra D Frey |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2040 Lincoln Ave Ste 100, Charleston, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972225944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041434650 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209-026355 (Illinois) | Primary |
Entity Name | Sarah Bush Lincoln Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
Mailing Address | Practice Location Address |
---|---|
Sandra D Frey, FNP Po Box 372, Mattoon, IL 61938-0372 Ph: () - | Sandra D Frey, FNP 2040 Lincoln Ave Ste 100, Charleston, IL 61920-3197 Ph: (217) 345-2030 |
Mrs. Morgan Elizabeth Helbig, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2040 Lincoln Ave Ste 100, Charleston, IL 61920 Phone: 217-345-2030 Fax: 217-345-2045 | |
Veronica N Wright, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Lincoln Ave, Charleston, IL 61920 Phone: 217-258-4042 | |
Mr. Bryan K Callaway, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Lincoln Ave, Charleston, IL 61920 Phone: 217-581-3015 | |
Mrs. Christina L. White, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1199 Persimmon Rd, Charleston, IL 61920 Phone: 217-317-9385 | |
Mrs. Kristen Marie Walk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2040 Lincoln Ave Ste 100, Charleston, IL 61920 Phone: 217-345-2030 Fax: 217-345-2045 | |
Melissa Paholke, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2040 Lincoln Ave Ste 100, Charleston, IL 61920 Phone: 217-345-2030 Fax: 217-345-2045 | |
Mrs. Becky K Ogle, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Lincoln Ave, Charleston, IL 61920 Phone: 217-581-7015 |