| Zachary Sims, PA-C | |
|
520 N 4th St, Springfield, IL 62702-5238 | |
| (217) 757-8100 | |
| (217) 757-8161 |
| Full Name | Zachary Sims |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 520 N 4th St, Springfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033134424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085-002237 (Illinois) | Primary |
| Entity Name | Midwest Emergency Department Specialists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245263367 PECOS PAC ID: 5193627727 Enrollment ID: O20040123000845 |
| Entity Name | Board of Trustees of Southern Illinois University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019 |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary Sims, PA-C Po Box 19670, Springfield, IL 62794-9670 Ph: (217) 757-8100 | Zachary Sims, PA-C 520 N 4th St, Springfield, IL 62702-5238 Ph: (217) 757-8100 |
Jerry Priddy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 619 E Mason St Ste 5, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-2552 |
Sydney Lynch, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2901 Greenbriar Dr, Springfield, IL 62704 Phone: 217-528-7541 |
Julie C Hart, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541 |
Carol M. Harper, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541 |
Mr. Eric D Wolf, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2151 W White Oaks Dr, Springfield, IL 62704 Phone: 217-717-4404 |
Brandon N. Landsverk, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 900 N 1st St, Springfield, IL 62702 Phone: 217-528-7541 |
Lauren Nicole Ray, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 N 1st St, Springfield, IL 62702 Phone: 217-528-7541 Fax: 217-527-3845 |