| Era Louise Mattingly, APN | |
|
11522 White Pine Ave, Marion, IL 62959-8379 | |
| (618) 889-4834 | |
| Not Available |
| Full Name | Era Louise Mattingly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 11522 White Pine Ave, Marion, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033670062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209019019 (Illinois) | Primary |
| Entity Name | Franklin Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255369427 PECOS PAC ID: 4082516042 Enrollment ID: O20040121001102 |
| Entity Name | Vohra Wound Physicians Of Il Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790080505 PECOS PAC ID: 9830377688 Enrollment ID: O20110624000499 |
| Entity Name | Statera Health Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043874449 PECOS PAC ID: 0244565729 Enrollment ID: O20190708000284 |
| Entity Name | Trinity Medical Staffing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770103426 PECOS PAC ID: 1759712698 Enrollment ID: O20200511000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Era Louise Mattingly, APN 11522 White Pine Ave, Marion, IL 62959-8379 Ph: (618) 889-4834 | Era Louise Mattingly, APN 11522 White Pine Ave, Marion, IL 62959-8379 Ph: (618) 889-4834 |
Jessie Nicole Fox, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2808 Outer Dr, Marion, IL 62959 Phone: 618-993-3817 | |
Ms. Peggy Boyd, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2808 East Outer Drive, Marion, IL 62959 Phone: 618-993-3817 Fax: 618-993-3908 | |
Donna R Walters, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3408 Office Park Dr, Marion, IL 62959 Phone: 618-997-5266 Fax: 618-997-5285 | |
Antoinette Marie Miller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3331 W Deyoung St Ste 301, Marion, IL 62959 Phone: 618-998-7239 Fax: 618-998-4365 | |
Mrs. Holly Ann Gates, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3111 Williamson County Pkwy, Marion, IL 62959 Phone: 618-519-9200 Fax: 618-985-9155 | |
Rhonda Raye Heatherly, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 S Vicksburg St, Marion, IL 62959 Phone: 618-998-1900 |