| Alisa D Dearmond, APRN | |
|
1300 N Market St, Sparta, IL 62286-1048 | |
| (618) 443-4138 | |
| Not Available |
| Full Name | Alisa D Dearmond |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1300 N Market St, Sparta, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427456961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209012307 (Illinois) | Primary |
| Entity Name | Sparta Community Hospital D/b/a Quality Healthcare Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114984226 PECOS PAC ID: 6709870462 Enrollment ID: O20040414000594 |
| Entity Name | Southern Illinois Gi Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093775405 PECOS PAC ID: 1658337456 Enrollment ID: O20041203000280 |
| Mailing Address | Practice Location Address |
|---|---|
| Alisa D Dearmond, APRN Po Box 378, Sparta, IL 62286-0378 Ph: (618) 443-1338 | Alisa D Dearmond, APRN 1300 N Market St, Sparta, IL 62286-1048 Ph: (618) 443-4138 |
Mrs. Deanne C Rieckenberg, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 S Burns Ave, Sparta Medical Office, Sparta, IL 62286 Phone: 618-443-4889 | |
Carrie Ann Lutman, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 E Broadway St, Sparta, IL 62286 Phone: 618-443-2177 Fax: 618-443-1380 | |
Destiny Wilson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 N Market St, Sparta, IL 62286 Phone: 618-443-1337 Fax: 618-443-1383 | |
Abby Marie Woods, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 E Broadway St, Sparta, IL 62286 Phone: 618-443-1337 Fax: 618-443-1383 | |
Ashley Renee Friederich, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1300 N Market St, Sparta, IL 62286 Phone: 618-443-2177 | |
Nickie Murphy, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 S Burns Ave, Sparta, IL 62286 Phone: 618-443-1337 Fax: 618-443-1383 |