| Mrs Melody Ann Bauman, PA-C | |
|
1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | |
| (309) 661-2368 | |
| (309) 662-9709 |
| Full Name | Mrs Melody Ann Bauman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, 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 |
|---|---|---|---|
| 1487172409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085006316 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Saint James Hospital | Pontiac, IL | Hospital |
| Osf Saint Elizabeth Medical Center | Peru, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 2123 |
| 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 |
|---|---|
| Mrs Melody Ann Bauman, PA-C 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 Ph: (309) 661-2368 | Mrs Melody Ann Bauman, PA-C 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 Ph: (309) 661-2368 |
Amy J Stites, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1709 Tullamore Ave Ste C, Bloomington, IL 61704 Phone: 309-454-5900 Fax: 309-454-2820 |
Nicholas Ray Von Holten, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Ln Ste 111, Bloomington, IL 61704 Phone: 309-663-6461 |
Megan Becker, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1228 Towanda Ave Ste 1, Bloomington, IL 61701 Phone: 309-454-5900 Fax: 309-454-2820 |
Victoria C Voegel, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1414 Woodbine Rd, Bloomington, IL 61704 Phone: 309-662-2273 Fax: 309-662-2014 |
Kilmeny Clark, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3024 E Empire St, Bloomington, IL 61704 Phone: 309-556-7556 Fax: 309-556-7551 |
Danielle Beer, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Bloomington, IL 61701 Phone: 309-663-2100 Fax: 309-663-8322 |
Mrs. Sara Ann Houk, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2200 E. Washington St, Bloomington, IL 61701 Phone: 309-662-3311 |