| Angela Lea O'dell, NP | |
|
19 E Shawnee Dr Ste 2, Murphysboro, IL 62966-7072 | |
| (618) 684-2172 | |
| (618) 687-4480 |
| Full Name | Angela Lea O'dell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 19 E Shawnee Dr Ste 2, Murphysboro, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831196120 | NPI | - | NPPES |
| 200458610 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 277000354 (Illinois) | Primary |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Lea O'dell, NP Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Angela Lea O'dell, NP 19 E Shawnee Dr Ste 2, Murphysboro, IL 62966-7072 Ph: (618) 684-2172 |
Mary Ann Kohring, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1441 N 14th St, Murphysboro, IL 62966 Phone: 618-684-2136 | |
Brandi J Swift, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-519-9200 Fax: 618-684-2478 | |
Mrs. Dana Oberg, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 415 Health Department Rd, Murphysboro, IL 62966 Phone: 618-684-3143 Fax: 618-687-1255 | |
Gloria L Canaley, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-687-3418 Fax: 618-684-2748 | |
Jilian Crane, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-519-9200 Fax: 618-684-2748 | |
Rosiland Sedlacek, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 851, Murphysboro, IL 62966 Phone: 999-999-9999 | |
Samantha Jo Christopher, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 702 Chestnut St, Murphysboro, IL 62966 Phone: 618-684-7087 Fax: 618-822-4045 |