| Roger Young, NP | |
|
1250 W Whittaker St, Salem, IL 62881-1917 | |
| (618) 548-3740 | |
| (618) 548-3705 |
| Full Name | Roger Young |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 46 Years |
| Location | 1250 W Whittaker St, Salem, 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 |
|---|---|---|---|
| 1952399511 | NPI | - | NPPES |
| 110230526 | Other | IL | RAILROAD MEDICARE |
| 207988 | Other | IL | GRP MEDICARE NUMBER |
| CJ2166 | Other | IL | RR MEDICARE GROUP NUMBER |
| 500025714 | Other | IL | RAILROAD MEDICARE NUMBER |
| 208959 | Other | IL | GRP MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 041255812 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Salem Township Hospital | Salem, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Salem Township Hospital | 0840195277 | 21 |
| Entity Name | Salem Township Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295739548 PECOS PAC ID: 0840195277 Enrollment ID: O20031126000688 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Young, NP 1250 W Whittaker St, Salem, IL 62881-1917 Ph: (618) 548-3740 | Roger Young, NP 1250 W Whittaker St, Salem, IL 62881-1917 Ph: (618) 548-3740 |
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 |