| Hannah Durham, | |
|
1 Memorial Dr, Alton, IL 62002-6722 | |
| (618) 462-8421 | |
| Not Available |
| Full Name | Hannah Durham |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 1 Memorial Dr, Alton, 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 |
|---|---|---|---|
| 1891404992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alton Memorial Hospital | Alton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Emergency Physicians Of Memphis Llc | 5395643209 | 92 |
| Entity Name | Southeastern Emergency Services of Memphis PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164454450 PECOS PAC ID: 8921912767 Enrollment ID: O20150428000000 |
| Entity Name | Southeastern Emergency Physicians of Memphis LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20150520001245 |
| Entity Name | Emergency Services Midwest SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174024806 PECOS PAC ID: 2769746056 Enrollment ID: O20180515000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Durham, 1 Memorial Dr, Alton, IL 62002-6722 Ph: Not Available | Hannah Durham, 1 Memorial Dr, Alton, IL 62002-6722 Ph: (618) 462-8421 |
Mckenzie R Youngblood, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 130, Alton, IL 62002 Phone: 618-463-7600 |
Michele D Brannan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Memorial Dr Ste 220, Alton, IL 62002 Phone: 618-474-1723 |
Alexandria Ruzicka, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4411 Alby Street, Alton, IL 62002 Phone: 618-474-8052 |
Casey A Newgent, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr, Ste 130b, Alton, IL 62002 Phone: 618-463-7600 Fax: 618-463-7601 |
Kate A Smith, MPAS Physician Assistant Medicare: Medicare Enrolled Practice Location: 2 Saint Anthonys Way, Suite 305, Alton, IL 62002 Phone: 618-465-9024 Fax: 618-462-6828 |
Donald W Lemoine Ii, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4 Memorial Drive, Ste 130b, Alton, IL 62002 Phone: 618-463-7600 Fax: 618-463-7601 |
Mary Stuart, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr, Ste 130b, Alton, IL 62002 Phone: 618-463-7600 Fax: 618-463-7601 |