| Scott Carlson, | |
|
10 Saint Clare Ct, Washington, IL 61571-9239 | |
| (309) 886-4003 | |
| (309) 886-4116 |
| Full Name | Scott Carlson |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 10 Saint Clare Ct, Washington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386726255 | NPI | - | NPPES |
| 036076809 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036-076809 (Illinois) | Primary |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Carlson, 10 Saint Clare Ct, Washington, IL 61571-9239 Ph: (309) 886-4003 | Scott Carlson, 10 Saint Clare Ct, Washington, IL 61571-9239 Ph: (309) 886-4003 |
Jon Byler, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4000 Fax: 309-886-4101 | |
Shelly Shallat, Pediatrics Medicare: Medicare Enrolled Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4000 Fax: 309-886-4118 | |
Kayla Marie Freeburg, APN, PNP-PC Pediatrics Medicare: Medicare Enrolled Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-624-2277 | |
Sarah Anderson Joseph, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4000 Fax: 309-886-4118 |