| Dareshia F Chambers-staple, PA | |
|
311 W Fairchild St, Danville, IL 61832-3876 | |
| (217) 431-7650 | |
| (217) 431-7634 |
| Full Name | Dareshia F Chambers-staple |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 311 W Fairchild St, Danville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780104877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Illinois) | Primary |
| Entity Name | Hoopeston Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043683014 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Dareshia F Chambers-staple, PA 611 W Park St, Urbana, IL 61801-2529 Ph: (217) 383-6941 | Dareshia F Chambers-staple, PA 311 W Fairchild St, Danville, IL 61832-3876 Ph: (217) 431-7650 |
Pamela Ann Swaim-mejia, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-3186 |
Mr. George F Olivier, P-AC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 511 W Fairchild St, Danville, IL 61832 Phone: 217-431-2025 Fax: 217-431-0014 |
Ms. Julie Ann Reavill, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1808 N Vermilion St, Danville, IL 61832 Phone: 217-597-9393 |
Jodat Chaudhry, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-5383 |
Dr. Rene Ann Frasher, DHSC, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-5065 Fax: 217-554-4842 |
Sara E Thai, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 311 W Fairchild St, Danville, IL 61832 Phone: 217-431-7600 Fax: 217-431-7850 |
Nathaniel Spurgeon, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 812 N Logan Ave, Danville, IL 61832 Phone: 217-443-5000 |