Tamara Copeland, | |
2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | |
(618) 899-4000 | |
Not Available |
Full Name | Tamara Copeland |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 2 Good Samaritan Way Ste 420, Mount Vernon, 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 |
---|---|---|---|
1295192805 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1295192805 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209.013446 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
Clay County Hospital | Flora, IL | Hospital |
Franklin Hospital | Benton, IL | Hospital |
Fairfield Memorial Hospital 1 | Fairfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physician Services Corporation Of Southern Illinois Inc | 9234022567 | 100 |
Entity Name | Good Samaritan Regional Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325 |
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 |
---|---|
Tamara Copeland, Po Box 955860, Saint Louis, MO 63195-2478 Ph: (636) 498-5944 | Tamara Copeland, 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 Ph: (618) 899-4000 |
Amanda Engele, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5100 Lake Ter Ne Ste Wc, Mount Vernon, IL 62864 Phone: 618-899-5001 | |
Leslie Wright, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4101 N Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-244-6222 | |
Fariahh Fazil, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864 Phone: 618-899-3980 | |
Nancy K Kertz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864 Phone: 618-242-4848 Fax: 618-242-4198 | |
Natalie Amason, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4107 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-244-0031 Fax: 618-244-0056 | |
Melanie Cross, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-3778 Fax: 618-242-2551 | |
Abbey Gettinger, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4200 Williamson Pl Ste 1a, Mount Vernon, IL 62864 Phone: 618-899-9200 Fax: 618-899-9206 |