| Jackie R Camp, NP | |
|
213 Nw 10th St, Fairfield, IL 62837-1216 | |
| (618) 842-4617 | |
| (618) 380-4565 |
| Full Name | Jackie R Camp |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 213 Nw 10th St, Fairfield, 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 |
|---|---|---|---|
| 1518553403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 28156286A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lhc-illinois Home Health Care | Marion, IL | Home health agency |
| Horizons Home Care Inc | Evansville, IN | Home health agency |
| Ferrell Hospital Community Foundations | Eldorado, IL | Hospital |
| Fairfield Memorial Hospital 1 | Fairfield, IL | Hospital |
| Deaconess Hospital Inc | Evansville, IN | Hospital |
| Hamilton Memorial Hospital | Mcleansboro, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sound Physicians Of Indiana, Llc | 4981841780 | 56 |
| Total Care Family Practice Rick Bobay Llc | 5991844631 | 61 |
| Fairfield Memorial Hospital Association | 5698671741 | 35 |
| Entity Name | Total Care Family Practice Rick Bobay Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356674162 PECOS PAC ID: 5991844631 Enrollment ID: O20091209000326 |
| Entity Name | Sound Physicians Of Indiana, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528311149 PECOS PAC ID: 4981841780 Enrollment ID: O20130515000624 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackie R Camp, NP 213 Nw 10th St, Fairfield, IL 62837-1216 Ph: (618) 842-4617 | Jackie R Camp, NP 213 Nw 10th St, Fairfield, IL 62837-1216 Ph: (618) 842-4617 |
Joann Smith, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 213 Nw 10th St, Fairfield, IL 62837 Phone: 618-842-4617 | |
Sherry L Mewes, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 213 Nw 10th St Ste A, Fairfield, IL 62837 Phone: 618-842-4617 | |
Dylan Wayne Stennett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 Nw 11th St, Fairfield, IL 62837 Phone: 618-842-4617 | |
Jennifer Smith, APN FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 303 Nw 11th St, Fairfield, IL 62837 Phone: 618-842-4617 | |
Mikayla Troyer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 213 Nw 10th St, Fairfield, IL 62837 Phone: 618-842-4617 Fax: 618-842-4743 | |
Erica T Fearday, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 Nw 11th St, Fairfield, IL 62837 Phone: 618-919-4010 Fax: 618-847-8399 |