| Mrs Janet L Broom, MSN, APRN-BC | |
|
1275 Hawthorn Rd, Salem, IL 62881-1028 | |
| (618) 548-4545 | |
| (618) 548-4577 |
| Full Name | Mrs Janet L Broom |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 1275 Hawthorn Rd, Salem, 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 |
|---|---|---|---|
| 1740297498 | NPI | - | NPPES |
| 427355003 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 209.00 8351 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209.00 8351 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health At Home Health-illinois | Mount vernon, IL | Home health agency |
| Salem Township Hospital | Salem, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| St Anthonys Memorial Hospital | Effingham, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Healthcare Foundation, Inc. | 1456256874 | 115 |
| Entity Name | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609813500 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Janet L Broom, MSN, APRN-BC 1275 Hawthorn Rd, Salem, IL 62881-1028 Ph: (618) 548-4545 | Mrs Janet L Broom, MSN, APRN-BC 1275 Hawthorn Rd, Salem, IL 62881-1028 Ph: (618) 548-4545 |
Kathern Joan Norman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 W Whittaker St, Salem, IL 62881 Phone: 618-548-3740 | |
Rachel Benjamin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Ricker Rd, Salem, IL 62881 Phone: 618-900-1070 | |
Tara Fleeman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 Ricker Rd, Salem, IL 62881 Phone: 618-548-3194 | |
Melissa J Kohnen, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1275 Hawthorn Rd, Salem, IL 62881 Phone: 618-548-4590 Fax: 618-548-8275 | |
Tamara Dee Foltz, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 W Whittaker St, Salem, IL 62881 Phone: 618-548-3740 Fax: 618-548-3705 | |
Mrs. Deborah L Malone, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1275 Hawthorn Rd, Salem, IL 62881 Phone: 618-548-4545 Fax: 618-548-4577 | |
Ms. Amy L. Mclean, APRN, NP-C, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1275 Hawthorn Rd, Salem, IL 62881 Phone: 618-548-4545 Fax: 618-545-4577 |