Mandie E Bagwell, APN | |
310 W Plaza Dr, Carterville, IL 62918-1980 | |
(618) 985-4344 | |
(618) 985-6469 |
Full Name | Mandie E Bagwell |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 310 W Plaza Dr, Carterville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720214794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209007566 (Illinois) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209007566 (Illinois) | Primary |
Entity Name | Integrated Health Of Southern Illinois Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982738274 PECOS PAC ID: 2365401122 Enrollment ID: O20041007000123 |
Mailing Address | Practice Location Address |
---|---|
Mandie E Bagwell, APN 310 W Plaza Dr, Carterville, IL 62918-1980 Ph: (618) 985-4344 | Mandie E Bagwell, APN 310 W Plaza Dr, Carterville, IL 62918-1980 Ph: (618) 985-4344 |
Ms. Morgan A Gant, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 W Plaza Dr, Carterville, IL 62918 Phone: 618-985-4344 Fax: 618-985-6469 | |
Mary K Chapman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Pin Oak Dr, Carterville, IL 62918 Phone: 618-985-3333 Fax: 618-985-1307 | |
Trisha Lynn Phemister, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 308 W Plaza Dr, Carterville, IL 62918 Phone: 618-985-4344 Fax: 618-985-6469 | |
Mr. Robert M Swayze, MSN, APN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 W Plaza Dr, Carterville, IL 62918 Phone: 618-985-4344 Fax: 618-985-6469 | |
Teresa Johnson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1006 S Division St, Carterville, IL 62918 Phone: 618-519-9200 Fax: 618-985-3774 | |
Cathy D Bless, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1006 S Division St, Carterville, IL 62918 Phone: 618-985-4841 Fax: 618-985-8101 |