| Jessica N Stricklin, PA-C | |
|
5213 Godfrey Rd Ste 110, Godfrey, IL 62035-2510 | |
| (618) 619-3330 | |
| (618) 619-3390 |
| Full Name | Jessica N Stricklin |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 5213 Godfrey Rd Ste 110, Godfrey, 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 |
|---|---|---|---|
| 1124650353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085007532 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Heights Medical Group Sc | 6800784083 | 448 |
| Entity Name | Fairview Heights Medical Group SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
| 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 |
|---|---|
| Jessica N Stricklin, PA-C Po Box 959203, Saint Louis, MO 63195-9203 Ph: (618) 619-3330 | Jessica N Stricklin, PA-C 5213 Godfrey Rd Ste 110, Godfrey, IL 62035-2510 Ph: (618) 619-3330 |
Morgan Peters, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6702 Godfrey Rd, Godfrey, IL 62035 Phone: 618-467-1520 |
Lucas Edwards, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6702 Godfrey Rd, Godfrey, IL 62035 Phone: 618-467-1540 |
Kelsey Wickenhauser, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1368 Dadrian Professional Park, Godfrey, IL 62035 Phone: 309-530-9841 |