| Jill Marie Fairbanks, FNP-C | |
|
201 S 14th St, Herrin, IL 62948-3631 | |
| (618) 457-3065 | |
| (618) 351-6476 |
| Full Name | Jill Marie Fairbanks |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 201 S 14th St, 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 |
|---|---|---|---|
| 1154991131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209022604 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marshall Browning Hospital | Du quoin, IL | Hospital |
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christopher Greater Area Rural Health Planning Corp | 8224947387 | 46 |
| Entity Name | Christopher Greater Area Rural Health Planning Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639159213 PECOS PAC ID: 8224947387 Enrollment ID: O20040109000561 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Marie Fairbanks, FNP-C Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Jill Marie Fairbanks, FNP-C 201 S 14th St, Herrin, IL 62948-3631 Ph: (618) 457-3065 |
Anna Szyfer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4917 | |
Leslie Ann Hickman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 405 Rushing Dr, Herrin, IL 62948 Phone: 618-993-3300 Fax: 618-993-0262 | |
Amy Leeann Miller, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lincoln Dr, Herrin, IL 62948 Phone: 618-993-0056 Fax: 618-993-0752 | |
Hope E Hargraves, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6179 | |
Laura Utley, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 405 Rushing Dr, Herrin, IL 62948 Phone: 618-993-3300 Fax: 618-993-0262 | |
Mrs. Deanna L. Tacderas, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 317 S 14th St, Herrin, IL 62948 Phone: 618-988-6171 Fax: 618-988-6172 |