| Shoshana B Church, PA | |
|
1006 South Division Street, Carterville, IL 62918-1539 | |
| (618) 985-4841 | |
| (618) 985-8101 |
| Full Name | Shoshana B Church |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1006 South Division Street, Carterville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548261449 | NPI | - | NPPES |
| 085002122 | Medicaid | IL | |
| 169746 | Other | IL | HEALTH ALLIANCE |
| CF3444 | Other | IL | MEDICARE RR |
| 141816 | Other | IL | MEDICARE FQHC FOR SHAWNEE HEALTH SERVICES |
| 370966854004 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085-002122 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shoshana B Church, PA P O Box 577, 109 California, Carterville, IL 62918-0577 Ph: (618) 985-8221 | Shoshana B Church, PA 1006 South Division Street, Carterville, IL 62918-1539 Ph: (618) 985-4841 |
Paula Pierce-savoie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 Pin Oak Dr, Carterville, IL 62918 Phone: 618-985-3333 Fax: 618-985-1318 |