| Ms Stephanie Gordon, CNM | |
|
912 N Henrietta St, Effingham, IL 62401-1788 | |
| (217) 342-3337 | |
| (217) 347-3328 |
| Full Name | Ms Stephanie Gordon |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 11 Years |
| Location | 912 N Henrietta St, Effingham, 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 |
|---|---|---|---|
| 1174992127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 209.013249 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Anthonys Memorial Hospital | Effingham, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Effingham Obstetrics And Gynecology Associates Pllc | 2961726021 | 12 |
| Entity Name | Hoopeston Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043683014 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
| Entity Name | Physician Services Corporation of Southern Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Entity Name | Effingham Obstetrics and Gynecology Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649677063 PECOS PAC ID: 2961726021 Enrollment ID: O20150306001439 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Stephanie Gordon, CNM 611 W. Park St, Fapc, Urbana, IL 61801 Ph: Not Available | Ms Stephanie Gordon, CNM 912 N Henrietta St, Effingham, IL 62401-1788 Ph: (217) 342-3337 |