| Leslie Ann Hickman, NP | |
|
405 Rushing Dr, Herrin, IL 62948-3730 | |
| (618) 993-3300 | |
| (618) 993-0262 |
| Full Name | Leslie Ann Hickman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 405 Rushing Dr, 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 |
|---|---|---|---|
| 1184196883 | NPI | - | NPPES |
| 209.018346 | Other | IL | ILLINOIS ADVANCE PRACTICE NURSE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209.018346 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Of Southern Ill, Inc | Belleville, IL | Hospice |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Heartland Regional Medical Center | Marion, IL | Hospital |
| Franklin Hospital | Benton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Medical Services Nfp | 3678677390 | 299 |
| Franklin Hospital District | 4082516042 | 30 |
| Logan Primary Care Service Corp. | 8628967064 | 34 |
| Select Physical Therapy Holdings Inc | 9537076401 | 1463 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Ann Hickman, NP Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Leslie Ann Hickman, NP 405 Rushing Dr, Herrin, IL 62948-3730 Ph: (618) 993-3300 |
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 | |
Jill Marie Fairbanks, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-457-3065 Fax: 618-351-6476 | |
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 |