| Mr Reginald Patrick Wince Sr, NP-C | |
|
5900 Bond Ave, Centreville, IL 62207-2326 | |
| (618) 332-3060 | |
| (618) 332-5297 |
| Full Name | Mr Reginald Patrick Wince Sr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 5900 Bond Ave, Centreville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417129693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 209005440 (Illinois) | Primary |
| Entity Name | Touchette Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922019926 PECOS PAC ID: 7416843370 Enrollment ID: O20040226000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Reginald Patrick Wince Sr, NP-C 32 Hi Pointe Dr, Belleville, IL 62223-7119 Ph: (618) 398-8482 | Mr Reginald Patrick Wince Sr, NP-C 5900 Bond Ave, Centreville, IL 62207-2326 Ph: (618) 332-3060 |
Ms. Bonnie J Summers, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6000 Bond Ave, Centreville, IL 62207 Phone: 618-332-2740 Fax: 618-337-6039 | |
Diana L Swanson, MSN, APRN, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Bond Ave, Centreville, IL 62207 Phone: 618-332-2740 Fax: 618-733-7654 | |
Ms. Susan Thoma Rauckman, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Bond Ave, Centreville, IL 62207 Phone: 618-332-2083 Fax: 618-337-6039 |