| Jill Bethany Wilson, FNP | |
|
374 E Grand Ave, Carbondale, IL 62901-3962 | |
| (618) 453-3311 | |
| Not Available |
| Full Name | Jill Bethany Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 374 E Grand Ave, Carbondale, 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 |
|---|---|---|---|
| 1326314634 | NPI | - | NPPES |
| 370966854005 | Medicaid | IL | |
| CF3444 | Other | IL | RR MEDICARE |
| 370966854002 | Medicaid | IL | |
| 209.009467 | Other | IL | ILLINOIS ADVANCE PRACTICE NURSE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209009467 (Illinois) | Primary |
| 363L00000X | Nurse Practitioner | 277003898 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Infinite Healthcare Solutions Inc | 3375087836 | 6 |
| Entity Name | Marshall Browning Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821099441 PECOS PAC ID: 9335049980 Enrollment ID: O20040226000868 |
| Entity Name | Jersey Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780609925 PECOS PAC ID: 4587650445 Enrollment ID: O20040424000140 |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Entity Name | Granite City Hospitalist Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669926424 PECOS PAC ID: 8527356591 Enrollment ID: O20161006000282 |
| 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 |
| Entity Name | Deaconess Illinois Union County Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184340408 PECOS PAC ID: 3072986025 Enrollment ID: O20230222002538 |
| 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 |
| Entity Name | Infinite Healthcare Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366213415 PECOS PAC ID: 3375087836 Enrollment ID: O20240626001306 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Bethany Wilson, FNP 374 E Grand Ave, Carbondale, IL 62901-3962 Ph: (618) 453-3311 | Jill Bethany Wilson, FNP 374 E Grand Ave, Carbondale, IL 62901-3962 Ph: (618) 453-3311 |
Whitney Mcguire, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Cynthia Snider, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Ashley Nicole Mitchell, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Natasha Charlyn Shafer, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1340 Cedar Ct Ste 202, Carbondale, IL 62901 Phone: 618-529-7821 | |
Mrs. Jennifer Sue Campos, FNP-BC, CCRN, CMC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Lindsay B Casolari, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Andrea Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 |