| Scott Wesley Cranick, PA-C | |
|
201 S 14th St, Herrin, IL 62948-3631 | |
| (618) 942-2171 | |
| (618) 351-4917 |
| Full Name | Scott Wesley Cranick |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 201 S 14th St, Herrin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902992050 | NPI | - | NPPES |
| 214881 | Other | IL | MEDICARE OSCAR |
| 3932056 | Other | IL | BLUE SHIELD |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Wesley Cranick, PA-C Po Box 3988, Carbondale, IL 62902-3988 Ph: (800) 457-5200 | Scott Wesley Cranick, PA-C 201 S 14th St, Herrin, IL 62948-3631 Ph: (618) 942-2171 |
Mr. Leon Gauthier, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 N Park Ave, Suite 2, Herrin, IL 62948 Phone: 618-942-3344 Fax: 618-942-5045 |
Mr. John W Nugent, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 |
Mr. Hollis Johnson Clark Jr., P.A.-C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 510 Lincoln Dr, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-997-1187 |
Mr. Kevin L Rainey, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 |
Mrs. Dena L Mccormick, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6186 |
Mrs. Kelly Jackson Johnson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 510 Lincoln Dr, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-997-1187 |
Gretchen B Mason, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Dr, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 |