| Vicki Lynn Wyatt, APN RN | |
|
303 Nw 11th St, Fairfield, IL 62837-1206 | |
| (618) 842-2611 | |
| Not Available |
| Full Name | Vicki Lynn Wyatt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 303 Nw 11th St, Fairfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841011541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209-030596 (Illinois) | Primary |
| Entity Name | Fairfield Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649442419 PECOS PAC ID: 5698671741 Enrollment ID: O20041124000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Vicki Lynn Wyatt, APN RN 303 Nw 11th St, Fairfield, IL 62837-1206 Ph: (618) 847-8243 | Vicki Lynn Wyatt, APN RN 303 Nw 11th St, Fairfield, IL 62837-1206 Ph: (618) 842-2611 |
Joann Smith, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 Nw 10th St, Fairfield, IL 62837 Phone: 618-842-4617 | |
Sherry L Mewes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 Nw 10th St Ste A, Fairfield, IL 62837 Phone: 618-842-4617 | |
Jackie R Camp, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 213 Nw 10th St, Fairfield, IL 62837 Phone: 618-842-4617 Fax: 618-380-4565 | |
Dylan Wayne Stennett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 Nw 11th St, Fairfield, IL 62837 Phone: 618-842-4617 | |
Jennifer Smith, APN FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 Nw 11th St, Fairfield, IL 62837 Phone: 618-842-4617 | |
Erica T Fearday, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 Nw 11th St, Fairfield, IL 62837 Phone: 618-919-4010 Fax: 618-847-8399 | |
Stephen Welty, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 Nw 10th St Ste A, Fairfield, IL 62837 Phone: 618-842-4617 |