Audrey Fields, DDS | |
402 S Lewis Ln, Carbondale, IL 62901 | |
(618) 519-9200 | |
(618) 519-9375 |
Full Name | Audrey Fields |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 402 S Lewis Ln, Carbondale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023509932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019031776 (Illinois) | Primary |
Entity Name | Health Services Inc |
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Entity Type | Part A Provider - Federally Qualified Health Center (fqhc) |
Entity Identifiers | NPI Number: 1205844719 PECOS PAC ID: 1557324811 Enrollment ID: O20100625000144 |
Entity Name | Health Services Inc |
---|---|
Entity Type | Part A Provider - Federally Qualified Health Center (fqhc) |
Entity Identifiers | NPI Number: 1528082336 PECOS PAC ID: 1557324811 Enrollment ID: O20100707000180 |
Mailing Address | Practice Location Address |
---|---|
Audrey Fields, DDS 109 California St, Po Box 577, Carterville, IL 62918-0577 Ph: (618) 519-9200 | Audrey Fields, DDS 402 S Lewis Ln, Carbondale, IL 62901 Ph: (618) 519-9200 |
Dr. Donald Charles Summerlin, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1240 Cedar Ct, Carbondale, IL 62901 Phone: 618-549-7621 Fax: 618-549-8570 | |
Dr. Dwayne Gail Summers, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1365 Douglas Dr, Carbondale, IL 62901 Phone: 618-453-2353 Fax: 618-453-7020 | |
Terry Powers, DMD Dentist Medicare: Medicare Enrolled Practice Location: 402 S. Lewis Lane, Carbondale, IL 62901 Phone: 618-519-9901 Fax: 618-519-9375 | |
Dr. Mazhar M. Butt, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1001 N Beadle Dr, Carbondale, IL 62901 Phone: 618-457-2123 Fax: 618-351-1401 | |
Ralph Kimbrough, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 402 S. Lewis Ln, Carbondale, IL 62901 Phone: 618-519-9901 Fax: 618-519-9375 | |
Dr. Laura Schall, DMD Dentist Medicare: Medicare Enrolled Practice Location: 402 S Lewis Ln, Carbondale, IL 62901 Phone: 618-519-9200 Fax: 618-519-9375 |