| Amanda M Clouser, | |
|
315 W Carpenter St Fl 1, Springfield, IL 62702-4901 | |
| (217) 545-8000 | |
| (217) 545-1141 |
| Full Name | Amanda M Clouser |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 315 W Carpenter St Fl 1, Springfield, 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 |
|---|---|---|---|
| 1164087276 | NPI | - | NPPES |
| 041430883 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041430883 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Medical Center | Springfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Siu Physicians And Surgeons Inc | 2365352820 | 275 |
| Entity Name | Siu Physicians & Surgeons Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda M Clouser, Po Box 19678, Springfield, IL 62794-9678 Ph: (217) 545-8000 | Amanda M Clouser, 315 W Carpenter St Fl 1, Springfield, IL 62702-4901 Ph: (217) 545-8000 |
Dr. Elizabeth Fern Gephart, RN, APRN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 101 N 16th St, Springfield, IL 62703 Phone: 217-525-6522 | |
Heather Nicole Fulhorst, FNP-BC Registered Nurse Medicare: May Accept Medicare Assignments Practice Location: 2239 E Cook St, Springfield, IL 62703 Phone: 217-788-2300 | |
Kathy S Celletti, RNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1301 S Koke Mill Rd, Springfield, IL 62711 Phone: 217-547-9100 Fax: 217-547-9247 | |
Jeannette A. Wells, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 710 N 8th St, Springfield, IL 62702 Phone: 217-525-1064 Fax: 217-525-1651 | |
Patrick O'brien, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 Fax: 217-757-6537 | |
Britanie Lee Sumpter, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 | |
Elizabeth Ann Barno, RN.DT Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1905 Creighton Rd, Springfield, IL 62703 Phone: 217-585-1975 Fax: 217-585-1875 |