| Braedon Haertling, PA-C | |
|
4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | |
| (618) 214-8392 | |
| Not Available |
| Full Name | Braedon Haertling |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 4121 Veterans Memorial Dr, Mount Vernon, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689223729 | NPI | - | NPPES |
| 085007253 | Other | IL | PHYSICIAN ASSISTANT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085007253 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health At Home Health-illinois | Mount vernon, IL | Home health agency |
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Washington County Hospital | Nashville, IL | Hospital |
| Pinckneyville Community Hospital | Pinckneyville, IL | Hospital |
| Fairfield Memorial Hospital 1 | Fairfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopaedic Center Of Southern Illinois, Ltd | 6901705441 | 19 |
| Select Physical Therapy Holdings Inc | 9537076401 | 1487 |
| Mailing Address | Practice Location Address |
|---|---|
| Braedon Haertling, PA-C 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 Ph: (618) 214-8392 | Braedon Haertling, PA-C 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 Ph: (618) 214-8392 |
Erica Renee Escue, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2920 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-244-6544 | |
Devin D Haertling, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-3778 Fax: 618-242-2551 | |
Mr. Justin L Northcutt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-244-5500 | |
Mr. Zachary R Gustavison, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 605 N 12th St, Mount Vernon, IL 62864 Phone: 586-263-2601 | |
Ms. Cathy Diane Lisenby, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 618-899-4000 Fax: 618-899-4790 | |
Mr. James Edward Keeler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3307 Broadway St, Suite 140, Mount Vernon, IL 62864 Phone: 618-244-7200 | |
Mr. Joey Alan Wegmann, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 302 Broadway St, Mount Vernon, IL 62864 Phone: 618-242-4750 Fax: 618-242-7674 |