| Sadie Donaghy, PA-C | |
|
1 Kish Hospital Dr, Dekalb, IL 60115-9602 | |
| (815) 766-7334 | |
| (815) 766-9768 |
| Full Name | Sadie Donaghy |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 1 Kish Hospital Dr, Dekalb, 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 |
|---|---|---|---|
| 1861140279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085008967 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Medicine Kishwaukee Hospital | Dekalb, IL | Hospital |
| Northwestern Medicine Central Dupage Hospital | Winfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 4386 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Sadie Donaghy, PA-C 1 Kish Hospital Dr, Dekalb, IL 60115-9602 Ph: (815) 766-7334 | Sadie Donaghy, PA-C 1 Kish Hospital Dr, Dekalb, IL 60115-9602 Ph: (815) 766-7334 |
Mrs. Haley Ranae Goulson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10 Health Services Dr, Dekalb, IL 60115 Phone: 815-756-5255 Fax: 815-756-9944 |
Makenzie Diserio, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1212 S 2nd St, Dekalb, IL 60115 Phone: 872-231-3162 Fax: 702-977-1496 |