Trenton Trey Titsworth, APN | |
800 E Locust St, Olney, IL 62450-2553 | |
(618) 395-2131 | |
Not Available |
Full Name | Trenton Trey Titsworth |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 800 E Locust St, Olney, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053039610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209025630 (Illinois) | Primary |
Entity Name | Richland Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467492124 PECOS PAC ID: 3870565732 Enrollment ID: O20040811000131 |
Mailing Address | Practice Location Address |
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Trenton Trey Titsworth, APN 307 E Highland Ave, Robinson, IL 62454-2608 Ph: (618) 554-3074 | Trenton Trey Titsworth, APN 800 E Locust St, Olney, IL 62450-2553 Ph: (618) 395-2131 |
Kelcy Marie Carlson, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 363 N West St, Olney, IL 62450 Phone: 618-392-9400 | |
Jessica Lynn Mccorvey, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 N East St, Olney, IL 62450 Phone: 618-395-5222 Fax: 618-395-8552 | |
Ms. Debra Lynne Waggle, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 N East St, Olney, IL 62450 Phone: 618-395-6243 | |
Mrs. Heather Nichole Curtis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 S Whittle Ave, Olney, IL 62450 Phone: 618-392-6241 | |
Jamie Niemerg, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1108 N East St, Olney, IL 62450 Phone: 618-429-9470 Fax: 833-944-2035 | |
Destiny R Dannells, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1200 N East St, Olney, IL 62450 Phone: 618-395-5222 Fax: 618-395-8552 |