| Nathaniel Gregoire, | |
|
800 N 1st St, Springfield, IL 62702-3719 | |
| (217) 528-7541 | |
| Not Available |
| Full Name | Nathaniel Gregoire |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 800 N 1st St, Springfield, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477956811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 085005246 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Taylorville Memorial Hospital | Taylorville, IL | Hospital |
| St Johns Hospital | Springfield, IL | Hospital |
| Abraham Lincoln Memorial Hospital | Lincoln, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Springfield Clinic, Llp | 0547166076 | 678 |
| Memorial Physician Services | 9032005681 | 161 |
| Family Medical Center Of Lincoln, Llc | 3779644018 | 22 |
| Entity Name | Memorial Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174877930 PECOS PAC ID: 9032005681 Enrollment ID: O20040223000454 |
| Entity Name | Springfield Clinic, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
| Entity Name | Abraham Lincoln Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558586180 PECOS PAC ID: 9436040573 Enrollment ID: O20101123001008 |
| Entity Name | Abraham Lincoln Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154329753 PECOS PAC ID: 9436040573 Enrollment ID: O20191108001891 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathaniel Gregoire, 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541 | Nathaniel Gregoire, 800 N 1st St, Springfield, IL 62702-3719 Ph: (217) 528-7541 |
Jerry Priddy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 619 E Mason St Ste 5, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-2552 |
Sydney Lynch, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2901 Greenbriar Dr, Springfield, IL 62704 Phone: 217-528-7541 |
Julie C Hart, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541 |
Carol M. Harper, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541 |
Mr. Eric D Wolf, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2151 W White Oaks Dr, Springfield, IL 62704 Phone: 217-717-4404 |
Zachary Sims, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 520 N 4th St, Springfield, IL 62702 Phone: 217-757-8100 Fax: 217-757-8161 |
Brandon N. Landsverk, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 900 N 1st St, Springfield, IL 62702 Phone: 217-528-7541 |