| Tracie Foster, | |
|
1441 W Broadway, Centralia, IL 62801-5613 | |
| (618) 532-9050 | |
| Not Available |
| Full Name | Tracie Foster |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1441 W Broadway, Centralia, 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 |
|---|---|---|---|
| 1508258476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209072853 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health At Home Health-illinois | Mount vernon, IL | Home health agency |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Washington County Hospital | Nashville, IL | Hospital |
| St Josephs Hospital | Breese, IL | Hospital |
| Salem Township Hospital | Salem, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Services Corporation Of Southern Illinois Inc | 9234022567 | 103 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracie Foster, Po Box 955860, Saint Louis, MO 63195-3060 Ph: (636) 498-5944 | Tracie Foster, 1441 W Broadway, Centralia, IL 62801-5613 Ph: (618) 532-9050 |
Mr. Dale D Pearce, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1535 W Mccord St, Centralia, IL 62801 Phone: 618-533-1811 | |
Alexis Wernsman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1052 Ml King Drive, Suite 2, Centralia, IL 62801 Phone: 618-436-5410 Fax: 618-436-8063 | |
Abbey Dempsey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1307 E Mccord St, Centralia, IL 62801 Phone: 618-899-9200 Fax: 618-899-9206 | |
Mrs. Amber Lynn Wennerstrom, DNP, PMHNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-5665 | |
Ms. Jessica Lynn Chapman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1535 W Mccord St, Centralia, IL 62801 Phone: 618-532-1811 | |
Andrea Marie Johnson, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-5665 Fax: 618-436-8042 | |
Stacy D Menees, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 432 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-8300 |