Shanna Witges, APRN NP-C | |
509 Hamacher St Ste 102, Waterloo, IL 62298-1592 | |
(618) 939-3939 | |
Not Available |
Full Name | Shanna Witges |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 509 Hamacher St Ste 102, Waterloo, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376882647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2013002942 (Missouri) | Secondary |
363L00000X | Nurse Practitioner | 277000985 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gateway Regional Medical Center | Granite city, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Deaconess Illinois Clinic Inc | 5092187021 | 21 |
Entity Name | Deaconess Illinois Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962128256 PECOS PAC ID: 5092187021 Enrollment ID: O20230220002667 |
Mailing Address | Practice Location Address |
---|---|
Shanna Witges, APRN NP-C 509 Hamacher St, Suite 102, Waterloo, IL 62298-1592 Ph: (618) 939-3939 | Shanna Witges, APRN NP-C 509 Hamacher St Ste 102, Waterloo, IL 62298-1592 Ph: (618) 939-3939 |
Mr. Matthew Robert Jones, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 509 Hamacher St Ste 202, Waterloo, IL 62298 Phone: 618-939-4200 Fax: 618-939-4256 | |
Courtney Mccarty, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 224 Bradford Ln, Waterloo, IL 62298 Phone: 618-939-0112 Fax: 618-939-0119 | |
Ms. Carol Ann Glascock, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 723 Station Xing, Waterloo, IL 62298 Phone: 618-939-1551 Fax: 618-939-1553 | |
Stephanie Lynn Muertz, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6461 Old Orchard Ln, Waterloo, IL 62298 Phone: 618-340-1885 | |
Megan Roberts, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 224 Bradford Ln, Waterloo, IL 62298 Phone: 618-939-0112 | |
Tracy M Hasler, RN ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 509 Hamacher St, Suite 103, Waterloo, IL 62298 Phone: 618-939-2273 Fax: 618-939-0245 | |
Tiffany Hosp, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 N Illinois Route 3, Waterloo, IL 62298 Phone: 313-948-3055 |