Stephens Neuropathy & Pain Solutions Inc | |
803 Broadway Ave Mattoon IL 61938-4211 | |
(217) 512-4994 | |
Not Available |
Full Name | Stephens Neuropathy & Pain Solutions Inc |
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Speciality | General Practice |
Location | 803 Broadway Ave, Mattoon, Illinois |
Authorized Official Name and Position | Jamie D Stephens (OWNER/CEO) |
Authorized Official Contact | 2175124994 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stephens Neuropathy & Pain Solutions Inc 803 Broadway Ave Mattoon IL 61938-4211 Ph: (217) 512-4994 | Stephens Neuropathy & Pain Solutions Inc 803 Broadway Ave Mattoon IL 61938-4211 Ph: (217) 512-4994 |
NPI Number | 1912652835 |
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Provider Enumeration Date | 02/18/2022 |
Last Update Date | 03/09/2022 |
Medicare PECOS PAC ID | 0143609370 |
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Medicare Enrollment ID | O20220618000287 |
Identifier | Type | State | Issuer |
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1912652835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Alexis R Graven |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346753738 PECOS PAC ID: 0648537118 Enrollment ID: I20171208001480 |
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The Heart Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-238-4960 | |
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