| Maddalena Fairchild, | |
|
401 N Main St, Roanoke, IL 61561-7585 | |
| (309) 923-2661 | |
| Not Available |
| Full Name | Maddalena Fairchild |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 401 N Main St, Roanoke, Illinois |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790644383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085.011960 (Illinois) | Primary |
| Entity Name | Ottawa Regional Hospital & Healthcare Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306971080 PECOS PAC ID: 9133029861 Enrollment ID: O20040109000910 |
| Entity Name | OSF Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Maddalena Fairchild, 2970 Briarwood Ln, Titusville, FL 32796-1689 Ph: Not Available | Maddalena Fairchild, 401 N Main St, Roanoke, IL 61561-7585 Ph: (309) 923-2661 |
Ms. Victoria Gorfin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 |
Mckenzie K Mangun, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 Fax: 309-923-7628 |