Shannon D Parks, APN | |
620 N Main St, Hoyleton, IL 62803-2046 | |
(618) 314-6266 | |
Not Available |
Full Name | Shannon D Parks |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 620 N Main St, Hoyleton, 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 |
---|---|---|---|
1598308389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209020223 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health At Home Health-illinois | Mount vernon, IL | Home health agency |
Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
Crossroads Community Hospital | Mount vernon, IL | Hospital |
Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Surgical Technology, Llc | 3274857685 | 22 |
Entity Name | Physician Services Corporation Of Southern Illinois Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
Entity Name | Irvington Township Rural Health Clinic, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295940062 PECOS PAC ID: 1850485624 Enrollment ID: O20071001000595 |
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 |
---|---|
Shannon D Parks, APN 620 N Main St, Hoyleton, IL 62803-2046 Ph: (618) 314-6266 | Shannon D Parks, APN 620 N Main St, Hoyleton, IL 62803-2046 Ph: (618) 314-6266 |
Ms. Denise L Orrill, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 N Main St, Hoyleton, IL 62803 Phone: 618-663-0547 Fax: 418-787-0423 |