| Ashley D Greenwalt, APRN | |
|
109 E Maple St, Gillespie, IL 62033-1473 | |
| (217) 854-3223 | |
| Not Available |
| Full Name | Ashley D Greenwalt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 109 E Maple St, Gillespie, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306590088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.024757 (Illinois) | Primary |
| Entity Name | Springfield Clinic, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215974415 PECOS PAC ID: 0547166076 Enrollment ID: O20031208000403 |
| Entity Name | Macoupin County Public Health Department |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538444906 PECOS PAC ID: 1557377850 Enrollment ID: O20060223000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley D Greenwalt, APRN 109 E Maple St, Gillespie, IL 62033-1473 Ph: (217) 854-3223 | Ashley D Greenwalt, APRN 109 E Maple St, Gillespie, IL 62033-1473 Ph: (217) 854-3223 |
Jamie J Ott, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-854-3223 | |
Zuzana Jackevicius Killam, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-839-1526 Fax: 217-839-1538 | |
Sandra L Cania, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-839-1526 Fax: 217-839-1538 | |
Sheri Lynne Banovic, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 South Macoupin Street, Gillespie, IL 62033 Phone: 217-839-1526 | |
Samantha Thomas, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-839-1526 | |
Melinda S Edwards, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-839-1526 |