| Amy J Stites, PA-C | |
|
1709 Tullamore Ave Ste C, Bloomington, IL 61704-9603 | |
| (309) 454-5900 | |
| (309) 454-2820 |
| Full Name | Amy J Stites |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 1709 Tullamore Ave Ste C, Bloomington, 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 |
|---|---|---|---|
| 1043676109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085005783 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carle Bromenn Medical Center | Normal, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Illinois Gastroenterology Group Llc | 5193857423 | 116 |
| Entity Name | Illinois Gastroenterology Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316277817 PECOS PAC ID: 5193857423 Enrollment ID: O20100721000790 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy J Stites, PA-C 1709 Tullamore Ave Ste C, Bloomington, IL 61704-9603 Ph: (309) 454-5900 | Amy J Stites, PA-C 1709 Tullamore Ave Ste C, Bloomington, IL 61704-9603 Ph: (309) 454-5900 |
Nicholas Ray Von Holten, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Ln Ste 111, Bloomington, IL 61704 Phone: 309-663-6461 |
Megan Becker, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1228 Towanda Ave Ste 1, Bloomington, IL 61701 Phone: 309-454-5900 Fax: 309-454-2820 |
Victoria C Voegel, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1414 Woodbine Rd, Bloomington, IL 61704 Phone: 309-662-2273 Fax: 309-662-2014 |
Kilmeny Clark, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3024 E Empire St, Bloomington, IL 61704 Phone: 309-556-7556 Fax: 309-556-7551 |
Danielle Beer, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Bloomington, IL 61701 Phone: 309-663-2100 Fax: 309-663-8322 |
Mrs. Sara Ann Houk, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2200 E. Washington St, Bloomington, IL 61701 Phone: 309-662-3311 |
Caitlyn Stoewer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1015 S Mercer Ave Ste Gf7, Bloomington, IL 61701 Phone: 309-660-8442 |