Tracie Foster, | |
1441 W Broadway, Centralia, IL 62801-5613 | |
(618) 532-9050 | |
Not Available |
Full Name | Tracie Foster |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 1441 W Broadway, Centralia, 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 |
---|---|---|---|
1508258476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209072853 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health At Home Health-illinois | Mount vernon, IL | Home health agency |
Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physician Services Corporation Of Southern Illinois Inc | 9234022567 | 100 |
Select Physical Therapy Holdings Inc | 9537076401 | 1557 |
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 |
Entity Name | Aziz Rahman Md Facp Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508160359 PECOS PAC ID: 5193985919 Enrollment ID: O20120402000013 |
Mailing Address | Practice Location Address |
---|---|
Tracie Foster, Po Box 955860, Saint Louis, MO 63195-3060 Ph: (636) 498-5944 | Tracie Foster, 1441 W Broadway, Centralia, IL 62801-5613 Ph: (618) 532-9050 |
Mr. Dale D Pearce, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1535 W Mccord St, Centralia, IL 62801 Phone: 618-533-1811 | |
Alexis Wernsman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1052 Ml King Drive, Suite 2, Centralia, IL 62801 Phone: 618-436-5410 Fax: 618-436-8063 | |
Mrs. Amber Lynn Wennerstrom, DNP, PMHNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-5665 | |
Ms. Jessica Lynn Chapman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1535 W Mccord St, Centralia, IL 62801 Phone: 618-532-1811 | |
Andrea Marie Johnson, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-5665 Fax: 618-436-8042 | |
Stacy D Menees, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 432 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-8300 | |
Janet Rose Merrell, MSN, APN, CNS, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 904 M L King Dr, Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012 |