| Trinity Medical Staffing Llc | |
|
100 Dr Warren Tuttle Dr Harrisburg IL 62946-2718 | |
| (618) 253-7671 | |
| Not Available |
| Full Name | Trinity Medical Staffing Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Dr Warren Tuttle Dr, Harrisburg, Illinois |
| Authorized Official Name and Position | Caleb Sutton (DIRECTOR OF ORGANIZATIONAL DVLP) |
| Authorized Official Contact | 6188331691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Medical Staffing Llc 2250 N Illinois Ave Carbondale IL 62901-5612 Ph: () - | Trinity Medical Staffing Llc 100 Dr Warren Tuttle Dr Harrisburg IL 62946-2718 Ph: (618) 253-7671 |
| NPI Number | 1770103426 |
|---|---|
| Provider Enumeration Date | 04/23/2020 |
| Last Update Date | 05/04/2023 |
| Medicare PECOS PAC ID | 1759712698 |
|---|---|
| Medicare Enrollment ID | O20200511000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770103426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Todd J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760426316 PECOS PAC ID: 1052386067 Enrollment ID: I20040901000487 |
| Provider Name | Timothy Hipskind |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265439640 PECOS PAC ID: 8022059591 Enrollment ID: I20050513000790 |
| Provider Name | Patrick L Riley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730133505 PECOS PAC ID: 8325059413 Enrollment ID: I20060607000018 |
| Provider Name | Timothy E Morthland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255375515 PECOS PAC ID: 5294747648 Enrollment ID: I20060629000073 |
| Provider Name | Crystal S Jesenick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396831616 PECOS PAC ID: 7416953369 Enrollment ID: I20061017000103 |
| Provider Name | James O Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114094851 PECOS PAC ID: 8820130255 Enrollment ID: I20100125000060 |
| Provider Name | Elizabeth R Kraus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831495845 PECOS PAC ID: 2769666833 Enrollment ID: I20110414000160 |
| Provider Name | Mustafa Hindi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225273915 PECOS PAC ID: 3476721705 Enrollment ID: I20110712000573 |
| Provider Name | Sacha M Kuester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417206616 PECOS PAC ID: 5597919613 Enrollment ID: I20130125000127 |
| Provider Name | Jill B Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326314634 PECOS PAC ID: 2062642572 Enrollment ID: I20140303000569 |
| Provider Name | Kimberly S Schramke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790113793 PECOS PAC ID: 2264665678 Enrollment ID: I20140508001082 |
| Provider Name | Charlotte F Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073941670 PECOS PAC ID: 3577796820 Enrollment ID: I20140512001799 |
| Provider Name | Othniel S Doolittle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386965499 PECOS PAC ID: 1456576552 Enrollment ID: I20140703001136 |
| Provider Name | Irene Nicole Presnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871915298 PECOS PAC ID: 5193955151 Enrollment ID: I20150126001098 |
| Provider Name | Brittni Roldan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770975393 PECOS PAC ID: 9436463981 Enrollment ID: I20150729006966 |
| Provider Name | Anand K Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326302910 PECOS PAC ID: 6103130810 Enrollment ID: I20150807014480 |
| Provider Name | Val Valencia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285995779 PECOS PAC ID: 5294040408 Enrollment ID: I20150818003861 |
| Provider Name | Patricia A Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003285032 PECOS PAC ID: 1153630389 Enrollment ID: I20151028002877 |
| Provider Name | Katie G Kasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790155836 PECOS PAC ID: 8224339890 Enrollment ID: I20151228000208 |
| Provider Name | Michael Kruse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093178576 PECOS PAC ID: 0244529469 Enrollment ID: I20160511001672 |
| Provider Name | Tashia I Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467808584 PECOS PAC ID: 7315239662 Enrollment ID: I20160707001592 |
| Provider Name | Ginger Torrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568991206 PECOS PAC ID: 4688945165 Enrollment ID: I20170801003319 |
| Provider Name | Nathalie Dieudonne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235413972 PECOS PAC ID: 9739478231 Enrollment ID: I20170816003246 |
| Provider Name | Kristina Berg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295280790 PECOS PAC ID: 6002188984 Enrollment ID: I20170828002950 |
| Provider Name | Samantha Christopher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457745358 PECOS PAC ID: 2860766953 Enrollment ID: I20170928002004 |
| Provider Name | Nicole Marie Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982123899 PECOS PAC ID: 9830455906 Enrollment ID: I20171106001078 |
| Provider Name | Kaif M Mansuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326429242 PECOS PAC ID: 6709199656 Enrollment ID: I20180725000771 |
| Provider Name | Omar Latimer Dominique |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770996050 PECOS PAC ID: 0941524516 Enrollment ID: I20180904003276 |
| Provider Name | Kamal Akhtar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720543838 PECOS PAC ID: 2769722065 Enrollment ID: I20190410000139 |
| Provider Name | Era L Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033670062 PECOS PAC ID: 1951635150 Enrollment ID: I20190621001188 |
| Provider Name | Leann Nitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952701666 PECOS PAC ID: 2769709658 Enrollment ID: I20190816001914 |
| Provider Name | Donald Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366090573 PECOS PAC ID: 3971835786 Enrollment ID: I20191029000651 |
| Provider Name | Edward Burtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528602034 PECOS PAC ID: 2466884150 Enrollment ID: I20191119000666 |
| Provider Name | Chandrakiran Jwala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649529306 PECOS PAC ID: 9638485766 Enrollment ID: I20200212000440 |
| Provider Name | Hope E Hargraves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265065007 PECOS PAC ID: 6901235944 Enrollment ID: I20200326002467 |
| Provider Name | Bridget J Burwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588283360 PECOS PAC ID: 8224469069 Enrollment ID: I20200512002336 |
| Provider Name | Amber Criswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174146906 PECOS PAC ID: 0042631772 Enrollment ID: I20200604000191 |
| Provider Name | Adam Ransford Corman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669608618 PECOS PAC ID: 1557505245 Enrollment ID: I20200626000031 |
| Provider Name | Theresa Newbanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528460847 PECOS PAC ID: 9436370137 Enrollment ID: I20200929000417 |
| Provider Name | Brookann O'dell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649893389 PECOS PAC ID: 5799195400 Enrollment ID: I20201109002617 |
| Provider Name | Sarah Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922600907 PECOS PAC ID: 4587079348 Enrollment ID: I20210209002022 |
| Provider Name | Brandon Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245840636 PECOS PAC ID: 8022427921 Enrollment ID: I20210505001722 |
| Provider Name | Joseph Gregory Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477148443 PECOS PAC ID: 0648670968 Enrollment ID: I20210608002349 |
| Provider Name | Jennings Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285148882 PECOS PAC ID: 0749542926 Enrollment ID: I20210629000523 |
| Provider Name | Morgan Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447843172 PECOS PAC ID: 2264820323 Enrollment ID: I20211022002241 |
| Provider Name | Candis Nicole Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013275767 PECOS PAC ID: 0840601340 Enrollment ID: I20211110000742 |
| Provider Name | Khoa Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881363976 PECOS PAC ID: 6103215363 Enrollment ID: I20211110001586 |
| Provider Name | Jennifer Mary Joy Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013686203 PECOS PAC ID: 0749679850 Enrollment ID: I20211111000509 |
| Provider Name | John L Culiberk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407977234 PECOS PAC ID: 0345502043 Enrollment ID: I20220315001137 |
| Provider Name | Zachary Wade Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184221160 PECOS PAC ID: 7517374010 Enrollment ID: I20230607002471 |
| Provider Name | Tyler Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912228404 PECOS PAC ID: 3274806591 Enrollment ID: I20231016001463 |
| Provider Name | Mohamed Zghouzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275897993 PECOS PAC ID: 6305153818 Enrollment ID: I20231103002263 |
| Provider Name | Jennifer Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134679509 PECOS PAC ID: 5799054391 Enrollment ID: I20240304002460 |
Harrisburg Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 N Main St, Harrisburg, IL 62946 Phone: 618-253-8450 Fax: 618-253-8454 | |
Harrisburg Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 716 S Commercial St, Harrisburg, IL 62946 Phone: 618-294-8241 Fax: 618-297-8212 | |
Family Healthcare Clinic & Rehab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 N Commercial St, Suite 4, Harrisburg, IL 62946 Phone: 618-253-8863 Fax: 618-253-8864 | |
Primary Care Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-252-2540 | |
Deaconess Il Clinic 303 Commercial St Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 S Commercial St, Harrisburg, IL 62946 Phone: 618-918-6060 Fax: 618-294-8238 | |
Ferrell Hospital Family Practice Harrisburg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Veterans Dr, Harrisburg, IL 62946 Phone: 618-273-3361 | |
Primary Care Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-252-2540 |