| Mark Slaughter Pc | |
|
219 2nd Ave, Suite C, Edwardsville, IL 62025-2556 | |
| (618) 656-5433 | |
| (618) 656-5437 |
| Full Name | Mark Slaughter Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 219 2nd Ave, Edwardsville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922129352 | NPI | - | NPPES |
| 06032038 | Other | IL | BLUE CROSS BLUE SHIELD |
| 4650113 | Other | IL | AETNA |
| 514168 | Other | IL | HEALTHLINK |
| 167276 | Other | MO | BLUE CROSS BLUE SHIELD |
| 64-00479 | Other | IL | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Illinois) | Primary |
| Provider Name | Mark S Slaughter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912009739 PECOS PAC ID: 9436239720 Enrollment ID: I20071227000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Slaughter Pc 219 2nd Ave, Suite C, Edwardsville, IL 62025-2556 Ph: (618) 656-5433 | Mark Slaughter Pc 219 2nd Ave, Suite C, Edwardsville, IL 62025-2556 Ph: (618) 656-5433 |
Abigail C Reilly, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1047 Century Dr, Edwardsville, IL 62025 Phone: 618-307-3434 Fax: 618-307-3435 | |
Colleen M Chapman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2122 Troy Rd Ste 120, Edwardsville, IL 62025 Phone: 618-800-4620 Fax: 618-200-4621 | |
Rachael Diane Lynn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1047 Century Drive, Edwardsville, IL 62025 Phone: 618-307-3434 Fax: 618-307-3435 | |
Dr. Alicia Flach, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 St. Louis St, Edwardsville, IL 62025 Phone: 618-610-4420 | |
Emily Schirmer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 219 E Vandalia St, Edwardsville, IL 62025 Phone: 618-659-9666 | |
Madeleine Mcquality, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2122 Troy Rd Ste 120, Edwardsville, IL 62025 Phone: 618-800-4620 | |
Dr. Luke Makler, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1047 Century Dr, Edwardsville, IL 62025 Phone: 618-307-3434 Fax: 618-307-3434 |