Sesser Community Health Center | |
6294 State Highway 154 Sesser IL 62884-2163 | |
(618) 625-6679 | |
(618) 625-5362 |
Full Name | Sesser Community Health Center |
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Speciality | Clinic/Center |
Location | 6294 State Highway 154, Sesser, Illinois |
Authorized Official Name and Position | Kimberly A Mitroka (CEO) |
Authorized Official Contact | 6187242436 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sesser Community Health Center Po Box 155 Christopher IL 62822-0155 Ph: (618) 724-2401 | Sesser Community Health Center 6294 State Highway 154 Sesser IL 62884-2163 Ph: (618) 625-6679 |
NPI Number | 1073816542 |
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Provider Enumeration Date | 12/06/2010 |
Last Update Date | 01/25/2019 |
Medicare PECOS PAC ID | 8224947387 |
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Medicare Enrollment ID | O20040109000561 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073816542 | NPI | - | NPPES |
Provider Name | Durri S Javed |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1275510604 PECOS PAC ID: 4789585506 Enrollment ID: I20040115000667 |
Provider Name | Gina D Gunther |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942206438 PECOS PAC ID: 9931192416 Enrollment ID: I20040408000709 |
Provider Name | Ronald Chediak |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1184627861 PECOS PAC ID: 1254230055 Enrollment ID: I20050412001193 |
Provider Name | Elizabeth M Sweet Friend |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104822725 PECOS PAC ID: 6002854791 Enrollment ID: I20050422000424 |
Provider Name | Suzanne Mary Burge |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467456798 PECOS PAC ID: 7416991096 Enrollment ID: I20050615000197 |
Provider Name | Khalid Javed |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174529663 PECOS PAC ID: 5092708255 Enrollment ID: I20061219000473 |
Provider Name | Rakesh Chandra |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1225065220 PECOS PAC ID: 2365442449 Enrollment ID: I20070115000276 |
Provider Name | Donald L Griffin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396738878 PECOS PAC ID: 4284727868 Enrollment ID: I20070912000818 |
Provider Name | Chethana Sharath |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134375660 PECOS PAC ID: 1557420924 Enrollment ID: I20081030000630 |
Provider Name | Rachel Sinclair |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811183544 PECOS PAC ID: 8022167824 Enrollment ID: I20090528000104 |
Provider Name | Ma Claravel B Criste |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1245486679 PECOS PAC ID: 5698826329 Enrollment ID: I20090619000286 |
Provider Name | Michael A Blain |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801076146 PECOS PAC ID: 6709938020 Enrollment ID: I20090717000387 |
Provider Name | Jed W Jones |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1740287226 PECOS PAC ID: 1456269877 Enrollment ID: I20090818000285 |
Provider Name | Nathanael J Dolan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417183153 PECOS PAC ID: 2860546215 Enrollment ID: I20090819000423 |
Provider Name | Amy J Bratcher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912134362 PECOS PAC ID: 5799839908 Enrollment ID: I20090821000160 |
Provider Name | Michelle E Jenkins |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942287321 PECOS PAC ID: 3678616299 Enrollment ID: I20100204000623 |
Provider Name | Steven Mitchell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972500460 PECOS PAC ID: 3870652480 Enrollment ID: I20100317000632 |
Provider Name | David K Israel |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1275539918 PECOS PAC ID: 1658400726 Enrollment ID: I20100527000654 |
Provider Name | Christa S Pestka |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356342331 PECOS PAC ID: 3375674252 Enrollment ID: I20100622000635 |
Provider Name | Jeremy Gerwe |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1376683003 PECOS PAC ID: 0345390076 Enrollment ID: I20110826000732 |
Provider Name | Rebecca L Sloan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770812976 PECOS PAC ID: 8921279050 Enrollment ID: I20110922000177 |
Provider Name | Benjamin T Rathert |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275854853 PECOS PAC ID: 6103063409 Enrollment ID: I20130503000508 |
Provider Name | Natasha N Youngblood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609207422 PECOS PAC ID: 4082846662 Enrollment ID: I20140414001051 |
Provider Name | Elizabeth Michaels |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1376975011 PECOS PAC ID: 1254659907 Enrollment ID: I20150409002080 |
Provider Name | Sandra M Tate |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1326093493 PECOS PAC ID: 3577518455 Enrollment ID: I20150415002081 |
Provider Name | Greta L Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467858712 PECOS PAC ID: 6406156819 Enrollment ID: I20151207002279 |
Provider Name | Erin M Krikie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447618897 PECOS PAC ID: 0244467934 Enrollment ID: I20160427001266 |
Provider Name | Tashia I Fox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467808584 PECOS PAC ID: 7315239662 Enrollment ID: I20160707001592 |
Provider Name | Jacklyn M Fitzpatrick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558756205 PECOS PAC ID: 7012270515 Enrollment ID: I20180416001706 |
Provider Name | Ashley S Kaytor-mccoy |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1710313184 PECOS PAC ID: 5496076309 Enrollment ID: I20190220002606 |
Provider Name | Sarah E Spicer |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235686890 PECOS PAC ID: 9931448487 Enrollment ID: I20190228001732 |
Provider Name | Kristina Hastings |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760882385 PECOS PAC ID: 9436491479 Enrollment ID: I20190423002728 |
Provider Name | Sidharth Chandra |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1295140143 PECOS PAC ID: 7315242807 Enrollment ID: I20190625003215 |
Provider Name | Allison Frost |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528622644 PECOS PAC ID: 9032449178 Enrollment ID: I20191002003049 |
Provider Name | Taylor R Loudermilk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174919724 PECOS PAC ID: 9133552185 Enrollment ID: I20191204002172 |
Provider Name | Mckenna D Loss |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336531409 PECOS PAC ID: 7012341209 Enrollment ID: I20191220001634 |
Provider Name | Christina Schuck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891248423 PECOS PAC ID: 9032546254 Enrollment ID: I20200228001641 |
Provider Name | Megan Nicole Plummer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487271557 PECOS PAC ID: 8729406319 Enrollment ID: I20200914002372 |
Provider Name | Charelle Octavia Smith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285128504 PECOS PAC ID: 6305194283 Enrollment ID: I20201113000423 |
Provider Name | Roxanna Lee Gunnels |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639778160 PECOS PAC ID: 2769894351 Enrollment ID: I20201228000325 |
Provider Name | Sarah Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922600907 PECOS PAC ID: 4587079348 Enrollment ID: I20210209002022 |
Provider Name | Cameron M Yosanovich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245825926 PECOS PAC ID: 6901213834 Enrollment ID: I20210322000510 |
Provider Name | Liam Brendan Farrell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437734001 PECOS PAC ID: 7719381656 Enrollment ID: I20210813002267 |
Provider Name | Jennifer D Murphy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871267492 PECOS PAC ID: 3476959644 Enrollment ID: I20210914001114 |
Provider Name | Jill Marie Fairbanks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154991131 PECOS PAC ID: 8729477617 Enrollment ID: I20211115002534 |
Provider Name | Anand N Subramanian |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1316467632 PECOS PAC ID: 2062782238 Enrollment ID: I20220118001590 |
Provider Name | Christy K Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235804246 PECOS PAC ID: 3375935075 Enrollment ID: I20220216000080 |
Provider Name | Tiffany Nicole Shurtz |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467112417 PECOS PAC ID: 6002200888 Enrollment ID: I20220221000700 |
Provider Name | Michaela A Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205387651 PECOS PAC ID: 1254725021 Enrollment ID: I20220222001432 |
Provider Name | Jennifer Leann Colyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568042182 PECOS PAC ID: 8224423199 Enrollment ID: I20220312000257 |
Provider Name | Kelli R Bean |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629734264 PECOS PAC ID: 3375939531 Enrollment ID: I20220415000880 |
Provider Name | Nicole P Waters |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407416308 PECOS PAC ID: 2769717040 Enrollment ID: I20220510001024 |
Provider Name | Rachel Jane Bozarth |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316455900 PECOS PAC ID: 4183007784 Enrollment ID: I20220815001960 |
Provider Name | Erik Brenner Pikas |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1134650856 PECOS PAC ID: 8022491513 Enrollment ID: I20220816002242 |
Provider Name | Shelia Marie Tate |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922736552 PECOS PAC ID: 9638549116 Enrollment ID: I20221227000662 |
Provider Name | Becca Dawn Barth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932879665 PECOS PAC ID: 9537530969 Enrollment ID: I20230124000233 |
Provider Name | Chanda Fern Sauls |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023375888 PECOS PAC ID: 8123492683 Enrollment ID: I20230323001912 |
Provider Name | Ashley Dawn May |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720563075 PECOS PAC ID: 5890160584 Enrollment ID: I20230411002362 |
Provider Name | Sharon Lynn Bartley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275129686 PECOS PAC ID: 7719343516 Enrollment ID: I20230522001287 |
Provider Name | Whitley Scott Emge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285385880 PECOS PAC ID: 6305231036 Enrollment ID: I20230731002916 |
Provider Name | Janelle Renee Kirby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942854526 PECOS PAC ID: 8123356698 Enrollment ID: I20230816002249 |
Provider Name | Emily Jill Arndt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184308520 PECOS PAC ID: 8628431913 Enrollment ID: I20230905001809 |
Provider Name | Cathy Melissa Troue |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437894458 PECOS PAC ID: 2365891819 Enrollment ID: I20231211000499 |
Provider Name | Jodi Lynn Biggerstaff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679347827 PECOS PAC ID: 4981053188 Enrollment ID: I20231213002967 |
Provider Name | Kathryn Marie Rawls |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1265561658 PECOS PAC ID: 3678947058 Enrollment ID: I20240226000317 |
Provider Name | Hannah Elise Baity |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1740889484 PECOS PAC ID: 3870938947 Enrollment ID: I20240228002372 |
Provider Name | Alyssa Goodman |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1538610209 PECOS PAC ID: 7315311792 Enrollment ID: I20240228003936 |