Dr Amanda Laine Brazis, DPM | |
510 Lincoln Dr, Herrin, IL 62948-6334 | |
(618) 997-3100 | |
(618) 997-3616 |
Full Name | Dr Amanda Laine Brazis |
---|---|
Gender | Female |
Speciality | Podiatry |
Experience | 13 Years |
Location | 510 Lincoln Dr, Herrin, 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 |
---|---|---|---|
1528354602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 016.005557 (Illinois) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 016.005557 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
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 |
---|---|---|
Southern Orthopedic Associates Sc | 8921095514 | 19 |
Provider Name | Southern Orthopedic Associates Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396792412 PECOS PAC ID: 8921095514 Enrollment ID: O20040427000442 |
Mailing Address | Practice Location Address |
---|---|
Dr Amanda Laine Brazis, DPM 510 Lincoln Dr, Herrin, IL 62948-6334 Ph: (618) 997-6800 | Dr Amanda Laine Brazis, DPM 510 Lincoln Dr, Herrin, IL 62948-6334 Ph: (618) 997-3100 |
Daniel R Brown Podiatrist Medicare: Medicare Enrolled Practice Location: 101 N 16th St, Herrin, IL 62948 Phone: 618-988-6034 Fax: 618-988-6479 | |
Daniel R Brown, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 101 N 16th Street, Herrin, IL 62948 Phone: 618-988-6034 Fax: 618-988-6479 | |
Amy R Reeter, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 101 N 16th St, Herrin, IL 62948 Phone: 618-988-6034 |