| Kristin Mcdonald, APRN | |
|
3111 Williamson County Pkwy, Marion, IL 62959-5235 | |
| (618) 519-9200 | |
| (618) 985-9155 |
| Full Name | Kristin Mcdonald |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 3111 Williamson County Pkwy, Marion, 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 |
|---|---|---|---|
| 1609401405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209.020587 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lhc-illinois Home Health Care | Marion, IL | Home health agency |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| Heartland Regional Medical Center | Marion, IL | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shawnee Health Service And Development Corp | 1658285671 | 50 |
| Entity Name | Shawnee Health Service And Development Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639295314 PECOS PAC ID: 1658285671 Enrollment ID: O20031120000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Mcdonald, APRN 109 California Street, P O Box 577, Carterville, IL 62918-0577 Ph: (618) 519-9200 | Kristin Mcdonald, APRN 3111 Williamson County Pkwy, Marion, IL 62959-5235 Ph: (618) 519-9200 |
Era Louise Mattingly, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11522 White Pine Ave, Marion, IL 62959 Phone: 618-889-4834 | |
Jessie Nicole Fox, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2808 Outer Dr, Marion, IL 62959 Phone: 618-993-3817 | |
Ms. Peggy Boyd, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2808 East Outer Drive, Marion, IL 62959 Phone: 618-993-3817 Fax: 618-993-3908 | |
Donna R Walters, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3408 Office Park Dr, Marion, IL 62959 Phone: 618-997-5266 Fax: 618-997-5285 | |
Antoinette Marie Miller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3331 W Deyoung St Ste 301, Marion, IL 62959 Phone: 618-998-7239 Fax: 618-998-4365 | |
Mrs. Holly Ann Gates, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3111 Williamson County Pkwy, Marion, IL 62959 Phone: 618-519-9200 Fax: 618-985-9155 | |
Rhonda Raye Heatherly, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 S Vicksburg St, Marion, IL 62959 Phone: 618-998-1900 |