| Stacey Elaine Oddera, APRN | |
|
98 Peach Ridge Rd, Anna, IL 62906-2243 | |
| (618) 614-1400 | |
| (618) 614-1401 |
| Full Name | Stacey Elaine Oddera |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 98 Peach Ridge Rd, Anna, 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 |
|---|---|---|---|
| 1558964080 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Deaconess Illinois Union County | Anna, IL | Hospital |
| Herrin Hospital | Herrin, IL | Hospital |
| St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Medical Services Nfp | 3678677390 | 331 |
| Metro Infectious Disease Consultants Llc | 3072425784 | 386 |
| Entity Name | Metro Infectious Disease Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235125717 PECOS PAC ID: 3072425784 Enrollment ID: O20031103000274 |
| 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 |
|---|---|
| Stacey Elaine Oddera, APRN Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Stacey Elaine Oddera, APRN 98 Peach Ridge Rd, Anna, IL 62906-2243 Ph: (618) 614-1400 |
Keith Samuel Bass, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 N Main St, Anna, IL 62906 Phone: 618-833-4471 |
Cristen Mae Mckibben, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 98 Peach Ridge Rd, Anna, IL 62906 Phone: 618-614-1400 Fax: 618-614-1401 |
Jessica Elizabeth Wills, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 N Main St, Anna, IL 62906 Phone: 618-833-4471 Fax: 618-833-6267 |
Ms. Erica Vining, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 N Main St, Anna, IL 62906 Phone: 618-833-4471 Fax: 618-833-6267 |
Adam Brock Goforth, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 N Main St, Anna, IL 62906 Phone: 618-833-4471 |
Rebecca L Pind, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 517 N Main St, Anna, IL 62906 Phone: 618-833-2295 Fax: 618-833-9058 |
Danece Lynn Bennett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 98 Peach Ridge Rd, Anna, IL 62906 Phone: 618-614-1400 Fax: 618-614-1401 |