| Lisa K Feather, PA-C | |
|
1601 W Robinson, Wayne City, IL 62895-9483 | |
| (618) 895-3181 | |
| (618) 895-3035 |
| Full Name | Lisa K Feather |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1601 W Robinson, Wayne City, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477554228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085-000778 (Illinois) | Primary |
| Entity Name | Good Samaritan Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325 |
| Entity Name | St Marys Hospital Centralia Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
| Entity Name | Specialists in Medical Imaging, SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841687951 PECOS PAC ID: 2163733544 Enrollment ID: O20150626000251 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa K Feather, PA-C 1601 W Robinson, Wayne City, IL 62895-9483 Ph: (618) 895-3181 | Lisa K Feather, PA-C 1601 W Robinson, Wayne City, IL 62895-9483 Ph: (618) 895-3181 |
Sherry Charlette Locey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1209 West Robinson, Wayne City, IL 62895 Phone: 618-895-2050 Fax: 618-895-2056 |