Mr Robert M Swayze, MSN, APN, FNP-BC | |
310 W Plaza Dr, Carterville, IL 62918-1980 | |
(618) 985-4344 | |
(618) 985-6469 |
Full Name | Mr Robert M Swayze |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 310 W Plaza Dr, Carterville, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487014627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 364132769 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209013916 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
Heartland Regional Medical Center | Marion, IL | Hospital |
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
Franklin Hospital | Benton, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Surgical Technology, Llc | 3274857685 | 19 |
Entity Name | Memorial Management Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720087950 PECOS PAC ID: 8325951031 Enrollment ID: O20031110000214 |
Entity Name | Integrated Health Of Southern Illinois Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982738274 PECOS PAC ID: 2365401122 Enrollment ID: O20041007000123 |
Entity Name | Advanced Surgical Technology, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497159024 PECOS PAC ID: 3274857685 Enrollment ID: O20150113000768 |
Entity Name | App Of Illinois Ed Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053860080 PECOS PAC ID: 7517245384 Enrollment ID: O20161028001650 |
Mailing Address | Practice Location Address |
---|---|
Mr Robert M Swayze, MSN, APN, FNP-BC 1009 W Main St, Marion, IL 62959-1841 Ph: (618) 985-4344 | Mr Robert M Swayze, MSN, APN, FNP-BC 310 W Plaza Dr, Carterville, IL 62918-1980 Ph: (618) 985-4344 |