| Stacey A Leithliter, PA | |
|
7 S Hospital Dr, Murphysboro, IL 62966-3333 | |
| (618) 687-3418 | |
| Not Available |
| Full Name | Stacey A Leithliter |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 38 Years |
| Location | 7 S Hospital Dr, Murphysboro, 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 |
|---|---|---|---|
| 1437208410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 085000393 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Illinois Medical Center | Marion, IL | Hospital |
| Herrin Hospital | Herrin, IL | Hospital |
| Northwestern Medicine Central Dupage Hospital | Winfield, IL | Hospital |
| Massac Memorial Hospital | Metropolis, IL | Hospital |
| Ferrell Hospital Community Foundations | Eldorado, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | 9830562016 | 145 |
| Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey A Leithliter, PA Po Box 577, Carterville, IL 62918-0577 Ph: (618) 985-8221 | Stacey A Leithliter, PA 7 S Hospital Dr, Murphysboro, IL 62966-3333 Ph: (618) 687-3418 |
Russell W Brown Ii, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-519-9200 Fax: 618-687-1859 |
Cheri W Kelly, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-687-3418 |
Amanda S Sailliez, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19 E Shawnee Dr Ste 2, Murphysboro, IL 62966 Phone: 618-684-2172 Fax: 618-687-4480 |
Mrs. Lisa Christine Baranski, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-519-9200 Fax: 618-684-2748 |