Samantha Renee Reliford, PMHNP | |
1301 Walnut St, Washington, IL 61571-9516 | |
(309) 267-6065 | |
Not Available |
Full Name | Samantha Renee Reliford |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1301 Walnut St, Washington, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205574902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209025244 (Illinois) | Primary |
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Mailing Address | Practice Location Address |
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Samantha Renee Reliford, PMHNP 8687 E Via De Ventura Ste 310, Scottsdale, AZ 85258-3351 Ph: (480) 970-9097 | Samantha Renee Reliford, PMHNP 1301 Walnut St, Washington, IL 61571-9516 Ph: (309) 267-6065 |
Jennifer Van Autreve, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1986 Freedom Pkwy, Washington, IL 61571 Phone: 309-308-5100 | |
Rachel A Amsbaugh, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1986 Freedom Pkwy Ste 1, Washington, IL 61571 Phone: 309-308-5100 | |
Jessica E. Garceau, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4000 Fax: 309-886-4118 | |
Katherine J Engelke, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4000 Fax: 309-886-4118 | |
Shannon R Lane, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Freedom Pkwy, Washington, IL 61571 Phone: 309-745-7425 | |
Gail Goeppinger, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4000 Fax: 309-886-4118 |