| Emily D Hanson, DO | |
|
19 E Shawnee Dr Ste 2, Murphysboro, IL 62966-7072 | |
| (618) 684-2172 | |
| (618) 687-4480 |
| Full Name | Emily D Hanson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 19 E Shawnee Dr Ste 2, Murphysboro, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023083748 | NPI | - | NPPES |
| 7210895 | Other | IL | AETNA |
| 036107935 | Medicaid | IL | |
| 3932056 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036107935 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lhc-illinois Home Health Care | Marion, IL | Home health agency |
| Lbn Residential Home Health Of Southern Illinois | Marion, IL | Home health agency |
| Hospice Of Southern Ill, Inc | Belleville, IL | Hospice |
| St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Medical Services Nfp | 3678677390 | 299 |
| Medical Arts Clinic Ltd | 3971523077 | 3 |
| Select Physical Therapy Holdings Inc | 9537076401 | 1463 |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily D Hanson, DO Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Emily D Hanson, DO 19 E Shawnee Dr Ste 2, Murphysboro, IL 62966-7072 Ph: (618) 684-2172 |
Dr. Kowsika Movva, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-519-9200 Fax: 618-684-2748 | |
Jeffrey Ripperda, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 South Hospital Drive, Murphysboro, IL 62966 Phone: 618-687-3418 Fax: 618-687-1859 | |
Mr. Evan Tep Belfer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 N 14th St, Murphysboro, IL 62966 Phone: 618-687-2319 Fax: 618-684-3321 | |
Todd Smith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7 South Hospital Drive, Murphysboro, IL 62966 Phone: 618-687-3418 Fax: 618-687-1859 | |
Dale W Blaise, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 19 E Shawnee Dr Ste 2, Murphysboro, IL 62966 Phone: 618-684-2172 Fax: 618-687-4480 | |
Clare T Williams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-687-3418 Fax: 618-687-1859 |