| Mitchell Wayne Sanders, | |
|
2601 W Main St, Carbondale, IL 62901-1031 | |
| (618) 549-5361 | |
| (618) 351-4878 |
| Full Name | Mitchell Wayne Sanders |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 2601 W Main St, Carbondale, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528680162 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lhc-illinois Home Health Care | Marion, IL | Home health agency |
| Residential Home Health Of Southern Illinois, Llc | Marion, IL | Home health agency |
| St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Herrin Hospital | Herrin, IL | Hospital |
| Deaconess Illinois Union County | Anna, IL | Hospital |
| Harrisburg Medical Center | Harrisburg, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Medical Services Nfp | 3678677390 | 331 |
| 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 |
|---|---|
| Mitchell Wayne Sanders, Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Mitchell Wayne Sanders, 2601 W Main St, Carbondale, IL 62901-1031 Ph: (618) 549-5361 |
Mr. Lukas Ward, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0479 |
Meredith Flamm, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 409 W Oak St, Carbondale, IL 62901 Phone: 618-529-4455 Fax: 618-351-1287 |
Ms. Britney Nicole Arnold, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 |
Joeli Gebhart, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-536-6621 |
Olivia Douthitt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-536-6621 |
Ms. Nicole A Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 |
Mr. Michael Leroy Matteson, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St, Suite 105, Carbondale, IL 62901 Phone: 618-536-2565 Fax: 618-536-2835 |