| Mrs Crystal Adel Honold, RN, MSN, CNRN, CNS | |
|
305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | |
| (618) 351-4972 | |
| (618) 351-6522 |
| Full Name | Mrs Crystal Adel Honold |
|---|---|
| Gender | Female |
| Speciality | Certified Clinical Nurse Specialist (cns) |
| Experience | 15 Years |
| Location | 305 W Jackson St Ste 103, Carbondale, 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 |
|---|---|---|---|
| 1609171206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364S00000X | Clinical Nurse Specialist | 209.008569 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Heartland Regional Medical Center | Marion, IL | Hospital |
| Ferrell Hospital Community Foundations | Eldorado, IL | Hospital |
| Crossroads Community Hospital | Mount vernon, IL | Hospital |
| Anna Hospital Corporation D/b/a Union County Hospital | Anna, IL | Hospital |
| Deaconess Hospital Inc | Evansville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | 9830562016 | 95 |
| 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 |
| Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Crystal Adel Honold, RN, MSN, CNRN, CNS Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Mrs Crystal Adel Honold, RN, MSN, CNRN, CNS 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 Ph: (618) 351-4972 |
Mrs. Alyson G Wolz, APRN, CNS, BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 8714 Day Rd, Carbondale, IL 62902 Phone: 618-559-3319 Fax: 618-457-5372 | |
Mrs. April Jan Miller, ACNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 |