| Carol Candler, | |
|
109 East Maple Street, Maucoupin County Maple Street Clinic, Gillespie, IL 62033 | |
| (217) 839-4100 | |
| Not Available |
| Full Name | Carol Candler |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 109 East Maple Street, Gillespie, Illinois |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770942716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.012741 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gateway Regional Medical Center | Granite city, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ahs Il Medical Group Llc | 5496111676 | 51 |
| Entity Name | Physicians Immediate Care Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528046323 PECOS PAC ID: 4486568813 Enrollment ID: O20031118001089 |
| Entity Name | Physicians Immediate Care North Chicago Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381 |
| Entity Name | Express Medical Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801102215 PECOS PAC ID: 0143419762 Enrollment ID: O20110308000609 |
| Entity Name | Granite City Hospitalist Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669926424 PECOS PAC ID: 8527356591 Enrollment ID: O20161006000282 |
| Entity Name | Wellnow Urgent Care, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669825162 PECOS PAC ID: 8325320864 Enrollment ID: O20190320001131 |
| Entity Name | Ahs Il Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659098101 PECOS PAC ID: 5496111676 Enrollment ID: O20230512001300 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Candler, Po Box 555, Caseyville, IL 62232-0555 Ph: (618) 741-4454 | Carol Candler, 109 East Maple Street, Maucoupin County Maple Street Clinic, Gillespie, IL 62033 Ph: (217) 839-4100 |
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 | |
Andrea Diane Mccabe, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 124 N Macoupin St, Gillespie, IL 62033 Phone: 217-839-3040 |