| Shanna Witges, APRN NP-C | |
|
509 Hamacher St Ste 102, Waterloo, IL 62298-1592 | |
| (618) 939-3939 | |
| Not Available |
| Full Name | Shanna Witges |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 509 Hamacher St Ste 102, Waterloo, 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 |
|---|---|---|---|
| 1376882647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2013002942 (Missouri) | Secondary |
| 363L00000X | Nurse Practitioner | 277000985 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gateway Regional Medical Center | Granite city, IL | Hospital |
| Red Bud Regional Hospital | Red bud, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deaconess Illinois Clinic Inc | 5092187021 | 17 |
| Entity Name | Deaconess Illinois Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962128256 PECOS PAC ID: 5092187021 Enrollment ID: O20230220002667 |
| Mailing Address | Practice Location Address |
|---|---|
| Shanna Witges, APRN NP-C 509 Hamacher St, Suite 102, Waterloo, IL 62298-1592 Ph: (618) 939-3939 | Shanna Witges, APRN NP-C 509 Hamacher St Ste 102, Waterloo, IL 62298-1592 Ph: (618) 939-3939 |
Mr. Matthew Robert Jones, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 509 Hamacher St Ste 202, Waterloo, IL 62298 Phone: 618-939-4200 Fax: 618-939-4256 | |
Courtney Mccarty, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 224 Bradford Ln, Waterloo, IL 62298 Phone: 618-939-0112 Fax: 618-939-0119 | |
Ms. Carol Ann Glascock, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 723 Station Xing, Waterloo, IL 62298 Phone: 618-939-1551 Fax: 618-939-1553 | |
Megan Roberts, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 224 Bradford Ln, Waterloo, IL 62298 Phone: 618-939-0112 | |
Dr. Megan Lutman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 921 Kimberly Ln, Waterloo, IL 62298 Phone: 314-456-6008 | |
Marla Rae Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 869 North Illinois Rt 3, Waterloo, IL 62298 Phone: 618-939-7771 Fax: 618-939-7746 |