| Molly Miller, NP | |
|
2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | |
| (618) 899-4000 | |
| Not Available |
| Full Name | Molly Miller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2 Good Samaritan Way Ste 420, Mount Vernon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700648052 | NPI | - | NPPES |
| 209029018 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209029018 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209.029018 (Illinois) | Primary |
| Entity Name | Physician Services Corporation Of Southern Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
| Entity Name | Integrated Health Of Southern Illinois Ltd |
|---|---|
| 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 |
|---|---|
| Molly Miller, NP 16952 Africa Rd, Thompsonville, IL 62890-4525 Ph: (618) 499-2815 | Molly Miller, NP 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 Ph: (618) 899-4000 |
Amanda Engele, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5100 Lake Ter Ne Ste Wc, Mount Vernon, IL 62864 Phone: 618-899-5001 | |
Leslie Wright, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4101 N Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-244-6222 | |
Fariahh Fazil, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864 Phone: 618-899-3980 | |
Andrea Stearns, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4000 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-246-2910 | |
Nancy K Kertz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864 Phone: 618-242-4848 Fax: 618-242-4198 | |
Natalie Amason, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4107 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-244-0031 Fax: 618-244-0056 | |
Melanie Cross, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-3778 Fax: 618-242-2551 |