Travis Michael Seddon, NP-C | |
203 Bailey Ln Ste 1, Benton, IL 62812-2266 | |
(618) 438-5670 | |
(618) 438-5709 |
Full Name | Travis Michael Seddon |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 203 Bailey Ln Ste 1, Benton, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265103006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209024033 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
Heartland Regional Medical Center | Marion, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kidney Disease And Medicine Specialty Consultants Llc | 1052391521 | 5 |
Entity Name | Kidney Disease And Medicine Specialty Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538190129 PECOS PAC ID: 1052391521 Enrollment ID: O20040723001080 |
Mailing Address | Practice Location Address |
---|---|
Travis Michael Seddon, NP-C Po Box 3988, Carbondale, IL 62902-3988 Ph: () - | Travis Michael Seddon, NP-C 203 Bailey Ln Ste 1, Benton, IL 62812-2266 Ph: (618) 438-5670 |
Ms. Kayla Lorraine Kimmel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Bailey Ln, Benton, IL 62812 Phone: 618-218-3690 | |
Debbie Lynn Holman, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1403 N Main St, Benton, IL 62812 Phone: 618-923-4310 Fax: 618-435-4310 | |
Chelsea Nichole Webb, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Bailey Ln, Benton, IL 62812 Phone: 618-439-3161 | |
Terri Lynn Braddock-hartman, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Bailey Ln, Benton, IL 62812 Phone: 618-439-3161 Fax: 618-435-2969 | |
Mrs. Cindy L Lord, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 N Du Quoin St, Benton, IL 62812 Phone: 618-435-5362 | |
Rose Y Grunert, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Bailey Ln, Benton, IL 62812 Phone: 618-439-3161 Fax: 618-439-7126 |