| Gretchen B Mason, PA-C | |
|
510 Lincoln Dr, Herrin, IL 62948-6334 | |
| (618) 997-6800 | |
| (618) 998-9124 |
| Full Name | Gretchen B Mason |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 510 Lincoln Dr, Herrin, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245229111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0850003442 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Herrin Hospital | Herrin, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Orthopedic Associates Sc | 8921095514 | 29 |
| Deaconess Illinois Specialty Clinic, Inc. | 9830562016 | 145 |
| Select Physical Therapy Holdings Inc | 9537076401 | 1992 |
| Entity Name | Southern Orthopedic Associates SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396792412 PECOS PAC ID: 8921095514 Enrollment ID: O20040427000442 |
| Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
| Mailing Address | Practice Location Address |
|---|---|
| Gretchen B Mason, PA-C 510 Lincoln Dr, Herrin, IL 62948-6334 Ph: (618) 997-6800 | Gretchen B Mason, PA-C 510 Lincoln Dr, Herrin, IL 62948-6334 Ph: (618) 997-6800 |
Mr. Leon Gauthier, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 N Park Ave, Suite 2, Herrin, IL 62948 Phone: 618-942-3344 Fax: 618-942-5045 |
Mr. John W Nugent, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 |
Mr. Hollis Johnson Clark Jr., P.A.-C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 510 Lincoln Dr, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-997-1187 |
Mr. Kevin L Rainey, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 |
Mrs. Dena L Mccormick, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6186 |
Mrs. Kelly Jackson Johnson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 510 Lincoln Dr, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-997-1187 |
Mr. Phillip R Erthall, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 |