Ms Susan Thoma Rauckman, ANP-BC | |
6000 Bond Ave, Centreville, IL 62207-2328 | |
(618) 332-2083 | |
(618) 337-6039 |
Full Name | Ms Susan Thoma Rauckman |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 6000 Bond Ave, Centreville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669642260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 209007010 (Illinois) | Primary |
Entity Name | Southern Illinois Healthcare Foundation, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013198712 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
Entity Name | Touchette Regional Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922019926 PECOS PAC ID: 7416843370 Enrollment ID: O20040226000538 |
Mailing Address | Practice Location Address |
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Ms Susan Thoma Rauckman, ANP-BC 6000 Bond Ave, Centreville, IL 62207-2328 Ph: (618) 332-2083 | Ms Susan Thoma Rauckman, ANP-BC 6000 Bond Ave, Centreville, IL 62207-2328 Ph: (618) 332-2083 |
Ms. Bonnie J Summers, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6000 Bond Ave, Centreville, IL 62207 Phone: 618-332-2740 Fax: 618-337-6039 | |
Mr. Reginald Patrick Wince Sr., NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5900 Bond Ave, Centreville, IL 62207 Phone: 618-332-3060 Fax: 618-332-5297 | |
Diana L Swanson, MSN, APRN, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Bond Ave, Centreville, IL 62207 Phone: 618-332-2740 Fax: 618-733-7654 |