| Victoria Dare, NP | |
|
405 Rushing Dr, Herrin, IL 62948-3730 | |
| (618) 993-3300 | |
| (618) 993-0262 |
| Full Name | Victoria Dare |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 405 Rushing Dr, Herrin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336830561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209026453 (Illinois) | Primary |
| Entity Name | Harrisburg Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396878658 PECOS PAC ID: 9638083884 Enrollment ID: O20031113000179 |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Dare, NP Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Victoria Dare, NP 405 Rushing Dr, Herrin, IL 62948-3730 Ph: (618) 993-3300 |
Antoinette Marie Miller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lincoln Dr, Herrin, IL 62948 Phone: 189-970-1666 Fax: 618-998-8055 | |
Anna Szyfer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4917 | |
Leslie Ann Hickman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 405 Rushing Dr, Herrin, IL 62948 Phone: 618-993-3300 Fax: 618-993-0262 | |
Amy Leeann Miller, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lincoln Dr, Herrin, IL 62948 Phone: 618-993-0056 Fax: 618-993-0752 | |
Hope E Hargraves, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6179 | |
Mrs. Deanna L. Tacderas, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 317 S 14th St, Herrin, IL 62948 Phone: 618-988-6171 Fax: 618-988-6172 |