| Mrs Theresa Mcfadin, FNP-C | |
|
6100 Illini Trl, Waterloo, IL 62298-3547 | |
| (618) 616-4782 | |
| Not Available |
| Full Name | Mrs Theresa Mcfadin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 6100 Illini Trl, Waterloo, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831553908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209013900 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 2015040590 (Missouri) | Primary |
| Entity Name | Emergency Services Midwest Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174024806 PECOS PAC ID: 2769746056 Enrollment ID: O20180515000619 |
| 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 |
| Entity Name | Ahs Il Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659098101 PECOS PAC ID: 5496111676 Enrollment ID: O20230512001300 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Theresa Mcfadin, FNP-C 6100 Illini Trl, Waterloo, IL 62298-3547 Ph: (618) 616-4782 | Mrs Theresa Mcfadin, FNP-C 6100 Illini Trl, Waterloo, IL 62298-3547 Ph: (618) 616-4782 |
Mr. Matthew Robert Jones, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 509 Hamacher St Ste 202, Waterloo, IL 62298 Phone: 618-939-4200 Fax: 618-939-4256 | |
Courtney Mccarty, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 224 Bradford Ln, Waterloo, IL 62298 Phone: 618-939-0112 Fax: 618-939-0119 | |
Ms. Carol Ann Glascock, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 723 Station Xing, Waterloo, IL 62298 Phone: 618-939-1551 Fax: 618-939-1553 | |
Megan Roberts, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 224 Bradford Ln, Waterloo, IL 62298 Phone: 618-939-0112 | |
Shanna Witges, APRN NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 509 Hamacher St Ste 102, Waterloo, IL 62298 Phone: 618-939-3939 | |
Dr. Megan Lutman, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 921 Kimberly Ln, Waterloo, IL 62298 Phone: 314-456-6008 | |
Marla Rae Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 869 North Illinois Rt 3, Waterloo, IL 62298 Phone: 618-939-7771 Fax: 618-939-7746 |