Stella C Johnson, FNP-C | |
1321 W Whittaker St, Salem, IL 62881-2013 | |
(618) 548-6644 | |
Not Available |
Full Name | Stella C Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 1321 W Whittaker St, Salem, 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 |
---|---|---|---|
1437556800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041.354435 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209.012188 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health At Home Health-illinois | Mount vernon, IL | Home health agency |
Salem Township Hospital | Salem, IL | Hospital |
Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
Fairfield Memorial Hospital 1 | Fairfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Salem Township Hospital | 0840195277 | 29 |
Entity Name | Salem Township Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295739548 PECOS PAC ID: 0840195277 Enrollment ID: O20031126000688 |
Entity Name | Physician Services Corporation Of Southern Illinois Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
Mailing Address | Practice Location Address |
---|---|
Stella C Johnson, FNP-C 1201 Ricker Rd, Salem, IL 62881-4263 Ph: (618) 548-3194 | Stella C Johnson, FNP-C 1321 W Whittaker St, Salem, IL 62881-2013 Ph: (618) 548-6644 |
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 |