Jacquelyn M Spence (NPI# 1922436682, PAC ID# 1850527169) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1922436682 |
| PAC ID by PECOS | 1850527169 |
| Professional Enrollment ID | I20131114002039 |
| Full Name | Jacquelyn M Spence |
| Organization Legal Name | OSF HEALTHCARE SYSTEM |
| Address |
1000 W Harlem Ave Monmouth IL 61462-1007 |
| Phone Number | 3097343141 |
| Gender | F |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4284541806 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141318 | OSF HOLY FAMILY MEDICAL CENTER |
| 140064 | ST MARY MEDICAL CENTER |
| 140089 | MC DONOUGH DISTRICT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 3097343141 | OSF HEALTHCARE SYSTEM |
| Organization Legal Name | OSF HEALTHCARE SYSTEM |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara L Glassgow | General Surgery | Osf Healthcare System | 1051 W S St, Kewanee, IL 61443-8354 |
| Ruben A Medrano | Internal Medicine | Osf Healthcare System | 1000 W Harlem Ave, Monmouth, IL 61462-1007 |
| Lea A Varble | Clinical Social Worker | Osf Healthcare System | 1 Saint Anthonys Way, Alton, IL 62002-4568 |
| Peter Fecht | Certified Registered Nurse Anesthetist (crna) | Osf Healthcare System | 1000 W Harlem Ave, Monmouth, IL 61462-1007 |
| Greg Mendrek | Certified Registered Nurse Anesthetist (crna) | Osf Healthcare System | 1000 W Harlem Ave, Monmouth, IL 61462-1007 |
| Tonya R Gibbs | Nurse Practitioner | Osf Healthcare System | 1000 W Harlem Ave, Monmouth, IL 61462-1007 |
| Kurt E Volz | Clinical Social Worker | Osf Healthcare System | 1000 W Harlem Ave, Monmouth, IL 61462-1007 |
| Carrie A Green | Nurse Practitioner | Osf Healthcare System | 1000 W Harlem Ave, Monmouth, IL 61462-1007 |
| Tami L Harker | Nurse Practitioner | Osf Healthcare System | 1051 W S St, Kewanee, IL 61443-8354 |
| Peter J Mulhern | Orthopedic Surgery | Osf Healthcare System | 1051 W S St, Kewanee, IL 61443-8354 |
| Street Address |
1000 W HARLEM AVE |
| City | MONMOUTH |
| State | IL |
| Zip | 61462-1007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ruben A Medrano | Internal Medicine | Osf Healthcare System | 1000 W Harlem Ave, Monmouth, IL 61462-1007 |
| Peter Fecht | Certified Registered Nurse Anesthetist (crna) | Osf Healthcare System | 1000 W Harlem Ave, Monmouth, IL 61462-1007 |
| Greg Mendrek | Certified Registered Nurse Anesthetist (crna) | Osf Healthcare System | 1000 W Harlem Ave, Monmouth, IL 61462-1007 |
| Tonya R Gibbs | Nurse Practitioner | Osf Healthcare System | 1000 W Harlem Ave, Monmouth, IL 61462-1007 |
| Kurt E Volz | Clinical Social Worker | Osf Healthcare System | 1000 W Harlem Ave, Monmouth, IL 61462-1007 |
| Carrie A Green | Nurse Practitioner | Osf Healthcare System | 1000 W Harlem Ave, Monmouth, IL 61462-1007 |
| Sterlon A Matheny | Certified Registered Nurse Anesthetist (crna) | Osf Healthcare System | 1000 W Harlem Ave, Monmouth, IL 61462-1007 |
| Kaleena D Williams | Clinical Social Worker | Osf Healthcare System | 1000 W Harlem Ave, Monmouth, IL 61462-1007 |
| Judith A Wakeland | Physician Assistant | Osf Healthcare System | 1000 W Harlem Ave, Monmouth, IL 61462-1007 |
| James R Battenburg | Family Medicine | Osf Healthcare System | 1000 W Harlem Ave, Monmouth, IL 61462-1007 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin J Kusler | Physician Assistant | Osf Healthcare System | 1000 W Harlem Ave, Monmouth, IL 61462-1007 |
| Leah R Shimmin | Nurse Practitioner | Osf Healthcare System | 1000 W Harlem Ave, Monmouth, IL 61462-1007 |
| Nancy J Nelson-beliveau | Nurse Practitioner | Osf Healthcare System | 1000 W Harlem Ave, Monmouth, IL 61462-1007 |
| Sheila R Feaster | Podiatry | Osf Multi-specialty Group | 1000 W Harlem Ave, Monmouth, IL 61462-1007 |
| Osman R Espinoza | Internal Medicine | Osf Healthcare System | 1000 W Harlem Ave, Monmouth, IL 61462-1007 |
| Daniel Ray Doyle | Optometry | Drs. Distin and Doyle, Optometrists | 67 Public Sq, Monmouth, IL 61462-1755 |
| Alan E Phillips | Chiropractic | 312 E Archer Ave, Monmouth, IL 61462-1837 | |
| Melissa D Boney-wegmann | Chiropractic | Maple City Chiropractic Ltd | 309 S Main St, Monmouth, IL 61462-2161 |
| John Wegmann | Chiropractic | Maple City Chiropractic Ltd | 309 S Main St, Monmouth, IL 61462-2161 |
| Rosa Maribel Leland | Nurse Practitioner | Knox Clinic Corp | 2 Americinn Way B, Monmouth, IL 61462-9416 |
| Find all physicians in zip 61462 | |||
| City | MONMOUTH |
| Zip Code | 61462 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MONMOUTH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jacquelyn M Spence.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.