| Amanda Reynolds, APN | |
|
1006 S Division St, Carterville, IL 62918-1539 | |
| (618) 519-9200 | |
| Not Available |
| Full Name | Amanda Reynolds |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1006 S Division St, Carterville, 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 |
|---|---|---|---|
| 1952785222 | NPI | - | NPPES |
| 209012925 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209012925 (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 |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Heartland Regional Medical Center | Marion, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shawnee Health Service And Development Corp | 1658285671 | 50 |
| Entity Name | Shawnee Health Service And Development Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639295314 PECOS PAC ID: 1658285671 Enrollment ID: O20031120000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Reynolds, APN 109 California Street, Po Box 577, Carterville, IL 62918-0577 Ph: (618) 985-8221 | Amanda Reynolds, APN 1006 S Division St, Carterville, IL 62918-1539 Ph: (618) 519-9200 |
Ms. Morgan A Gant, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 W Plaza Dr, Carterville, IL 62918 Phone: 618-985-4344 Fax: 618-985-6469 | |
Mary K Chapman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Pin Oak Dr, Carterville, IL 62918 Phone: 618-985-3333 Fax: 618-985-1307 | |
Trisha Lynn Phemister, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 308 W Plaza Dr, Carterville, IL 62918 Phone: 618-985-4344 Fax: 618-985-6469 | |
Mr. Robert M Swayze, MSN, APN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 W Plaza Dr, Carterville, IL 62918 Phone: 618-985-4344 Fax: 618-985-6469 | |
Dr. Nicholas P Robertson, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 W Plaza Dr, Carterville, IL 62918 Phone: 618-985-4344 | |
Teresa Johnson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1006 S Division St, Carterville, IL 62918 Phone: 618-519-9200 Fax: 618-985-3774 | |
Cathy D Bless, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1006 S Division St, Carterville, IL 62918 Phone: 618-985-4841 Fax: 618-985-8101 |