Mary Carol Agne (NPI# 1326147935, PAC ID# 4789872599) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1326147935 |
| PAC ID by PECOS | 4789872599 |
| Professional Enrollment ID | I20101221000581 |
| Full Name | Mary Carol Agne |
| Organization Legal Name | SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. |
| Address |
2900 Frank Scott Pkwy W Suite 980 Belleville IL 62223-5000 |
| Phone Number | 6182349200 |
| Gender | F |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1456256874 |
| Number of Group Practice Members | 77 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140185 | MEMORIAL HOSPITAL |
| 140307 | METRO-EAST SERVICES INC |
| 140187 | HSHS ST ELIZABETH'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2900 Frank Scott Pkwy W, Suite 980, Belleville, IL 62223-5000 | 6182349200 | SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. |
| Organization Legal Name | SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. |
| Physicians | 75 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noah M Cooperstein | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 3 Saint Elizabeth Blvd, Suite 4000, O Fallon, IL 62269-1099 |
| James Webb Cole Iii | Psychiatry | Southern Illinois Healthcare Foundation, Inc. | 1200 N E St, Olney, IL 62450-2432 |
| James Howard Hobby | Obstetrics/gynecology | Southern Illinois Healthcare Foundation, Inc. | 7210 W Main St, Belleville, IL 62223-3038 |
| Christa L Metzelaars | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 700 Broadway Ave E, Suite 39, Mattoon, IL 61938-4662 |
| Shelley D Reichling | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 824 Locust St, Red Bud, IL 62278-1209 |
| Chester B Nay | Physician Assistant | Southern Illinois Healthcare Foundation, Inc. | 302 N Mill St, Greenup, IL 62428-1062 |
| Amy L Mclean | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 1275 Hawthorn Rd, Salem, IL 62881-1028 |
| Susan K Reynolds | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 1215 Vandalia St, Collinsville, IL 62234-4060 |
| Alfred Johnson | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 2001 State St, East Saint Louis, IL 62205-1803 |
| Nanthini Suthan | Internal Medicine | Southern Illinois Healthcare Foundation, Inc. | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2294 |
| Street Address |
2900 FRANK SCOTT PKWY W SUITE 980 |
| City | BELLEVILLE |
| State | IL |
| Zip | 62223-5000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Marie Hart | Podiatry | Associated Foot Surgeons of Southwest Illinois Ltd | 2900 Frank Scott Pkwy W, Suite 900, Belleville, IL 62223-5000 |
| Michael Eugene Herrmann | Obstetrics/gynecology | 2900 Frank Scott Pkwy W, Suite 966, Belleville, IL 62223-5000 | |
| Michael R Hesterberg | Maxillofacial Surgery | Southern Illinois Oral and Maxillofacial Surgery Ltd | 2900 Frank Scott Pkwy W, Suite 960, Belleville, IL 62223-5010 |
| Eric C Whittenburg | Podiatry | Associated Foot Surgeons of Southwest Illinois Ltd | 2900 Frank Scott Pkwy W, Suite 900, Belleville, IL 62223-5000 |
| Edgar J Breda | Maxillofacial Surgery | Southern Illinois Oral and Maxillofacial Surgery Ltd | 2900 Frank Scott Pkwy W, Suite 960, Belleville, IL 62223-5010 |
| Patrick Nakashima-moran | Family Medicine | American Multispecialty Group Inc | 2900 Frank Scott Pkwy W, Suite 904, Belleville, IL 62223-5000 |
| Christopher S Dugan | Podiatry | Associated Foot Surgeons of Southwest Illinois Ltd | 2900 Frank Scott Pkwy W, Suite 900, Belleville, IL 62223-5000 |
| Neil Ermitano | Podiatry | Associated Foot Surgeons of Southwest Illinois Ltd | 2900 Frank Scott Pkwy W, Suite 900, Belleville, IL 62223-5000 |
| Emily Bach | Podiatry | Associated Foot Surgeons of Southwest Illinois Ltd | 2900 Frank Scott Pkwy W, Suite 900, Belleville, IL 62223-5000 |
| Thomas A Bayer | Internal Medicine | American Multispecialty Group Inc | 2900 Frank Scott Pkwy W, Suite 904, Belleville, IL 62223-5000 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jawad Khan | Family Medicine | Gateway Healthcare Ltd | 8601 W Main St, Suite 101, Belleville, IL 62223-1719 |
| Patrick Joseph Garrison | Clinical Social Worker | 949 Stone Creek Ln, Belleville, IL 62223-2654 | |
| James Howard Hobby | Obstetrics/gynecology | Southern Illinois Healthcare Foundation, Inc. | 7210 W Main St, Belleville, IL 62223-3038 |
| Walter J Yee | Obstetrics/gynecology | Southern Illinois Healthcare Foundation, Inc. | 7210 W Main St, Belleville, IL 62223-3038 |
| Oedraego Basga Bernard | Internal Medicine | Southern Illinois Healthcare Foundation, Inc. | 7210 W Main St, Belleville, IL 62223-3038 |
| Darryl L Engeljohn | Obstetrics/gynecology | Southern Illinois Healthcare Foundation, Inc. | 7210 W Main St, Belleville, IL 62223-3038 |
| David P Lebeau | Emergency Medicine | Southern Illinois Healthcare Foundation, Inc. | 7210 W Main St, Belleville, IL 62223-3038 |
| Vincente M Colon Alcaraz | Obstetrics/gynecology | Southern Illinois Healthcare Foundation, Inc. | 7210 W Main St, Belleville, IL 62223-3038 |
| Abdulsalam Jamous | Internal Medicine | National Medical Partners Pa | 40 N 64th St, Belleville, IL 62223-3808 |
| Rebecca Merchiori | Nurse Practitioner | Chestnut Health Systems, Inc. | 12 N 64th St, Belleville, IL 62223-3809 |
| Find all physicians in zip 62223 | |||
| City | BELLEVILLE |
| Zip Code | 62223 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BELLEVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mary Carol Agne.
| 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.