| Ms Dana Marie Ruholl, APN | |
|
900 W Temple Ave Ste 208, Effingham, IL 62401-2187 | |
| (618) 332-0953 | |
| Not Available |
| Full Name | Ms Dana Marie Ruholl |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 900 W Temple Ave Ste 208, Effingham, 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 |
|---|---|---|---|
| 1336959568 | NPI | - | NPPES |
| 209.031383 | Other | IL | ADVANCE PRACTICE REGISTERED NURSE LICENSE |
| 041.420849 | Other | IL | REGISTERED PROFESSIONAL NURSE LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hshs Home Care Southern Illinois | Effingham, IL | Home health agency |
| St Anthonys Memorial Hospital | Effingham, IL | Hospital |
| Sarah Bush Lincoln Health Center | Mattoon, 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 |
|---|---|
| Ms Dana Marie Ruholl, APN 2041 Goose Lake Rd, Sauget, IL 62206-2822 Ph: (618) 332-0953 | Ms Dana Marie Ruholl, APN 900 W Temple Ave Ste 208, Effingham, IL 62401-2187 Ph: (618) 332-0953 |
Robin Anderson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1303 W Evergreen Ave Ste 100, Effingham, IL 62401 Phone: 217-540-6123 Fax: 217-347-4969 | |
Dorothy Behrns, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1106 N Merchant St, Effingham, IL 62401 Phone: 217-342-7000 | |
Stephanie D Jackson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 W Temple Ave Ste 1500, Effingham, IL 62401 Phone: 217-347-0458 | |
Emily S. Boyajian, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 W. Temple Ave., Building B - Suite 2500, Effingham, IL 62401 Phone: 217-347-2255 Fax: 217-342-6910 | |
Bethany Renee Stone, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 503 N Maple St, Effingham, IL 62401 Phone: 217-347-1211 | |
Kaylee Marie Beals, DNP, APRN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 Medical Park Dr, Effingham, IL 62401 Phone: 217-342-2066 Fax: 217-342-2074 | |
Mrs. Susan Lynn Lamonica, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 W Temple Ave Ste 1500, Effingham, IL 62401 Phone: 217-347-0458 |