Shoshana B Church, PA | |
1006 South Division Street, Carterville, IL 62918-1539 | |
(618) 985-4841 | |
(618) 985-8101 |
Full Name | Shoshana B Church |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 1006 South Division Street, Carterville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548261449 | NPI | - | NPPES |
085002122 | Medicaid | IL | |
169746 | Other | IL | HEALTH ALLIANCE |
CF3444 | Other | IL | MEDICARE RR |
141816 | Other | IL | MEDICARE FQHC FOR SHAWNEE HEALTH SERVICES |
370966854004 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 085-002122 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Shoshana B Church, PA P O Box 577, 109 California, Carterville, IL 62918-0577 Ph: (618) 985-8221 | Shoshana B Church, PA 1006 South Division Street, Carterville, IL 62918-1539 Ph: (618) 985-4841 |
Paula Pierce-savoie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 Pin Oak Dr, Carterville, IL 62918 Phone: 618-985-3333 Fax: 618-985-1318 |