Mandie Bagwell (NPI# 1720214794, PAC ID# 5698820298) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1720214794 |
| PAC ID by PECOS | 5698820298 |
| Professional Enrollment ID | I20090903000388 |
| Full Name | Mandie Bagwell |
| Organization Legal Name | MARSHALL BROWNING HOSPITAL ASSOCIATION |
| Address |
900 N Washington St Du Quoin IL 62832-1233 |
| Phone Number | 6185422146 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9335049980 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141331 | MARSHALL BROWNING HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 900 N Washington St, Du Quoin, IL 62832-1233 | 6185422146 | MARSHALL BROWNING HOSPITAL ASSOCIATION |
| Organization Legal Name | MARSHALL BROWNING HOSPITAL ASSOCIATION |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary R Gustavison | Physician Assistant | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Sandra Marie Tate | Nurse Practitioner | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| David A Dickinson | Podiatry | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Heather S Burns | Registered Dietitian Or Nutrition Professional | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Suhail Z Istanbouly | Internal Medicine | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Issa Abedmahmoud | Endocrinology | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Danielle Shea Klump | Nurse Practitioner | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Elizabeth L Harbison | Nurse Practitioner | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Amy E Gerwe | Internal Medicine | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Heather D Rice | Physician Assistant | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Street Address |
900 N WASHINGTON ST |
| City | DU QUOIN |
| State | IL |
| Zip | 62832-1233 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erhime T Badejo | Family Medicine | Integritas Emergency Physician Services LLC | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Zachary R Gustavison | Physician Assistant | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Sandra Marie Tate | Nurse Practitioner | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| David A Dickinson | Podiatry | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Heather S Burns | Registered Dietitian Or Nutrition Professional | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Suhail Z Istanbouly | Internal Medicine | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Issa Abedmahmoud | Endocrinology | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Jacqueline A Treschuk Bahn | Diagnostic Radiology | Cape Radiology Group PC | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Danielle Shea Klump | Nurse Practitioner | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Elizabeth L Harbison | Nurse Practitioner | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy E Gerwe | Internal Medicine | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Heather D Rice | Physician Assistant | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Gail L Peterman | Registered Dietitian Or Nutrition Professional | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Robert D Eaton | Chiropractic | 31 S Mulberry St, Du Quoin, IL 62832-1303 | |
| Richard W Zimmerman | Chiropractic | 7 E Main St, Du Quoin, IL 62832-1420 | |
| Chelsea L Crisp | Chiropractic | Zimmerman Chiropractic Clinic PC | 7 E Main St, Duquoin, IL 62832-1420 |
| Alexis E Lorinskas | Physician Assistant | Southern Illinois Dermatology, PC | 111 W Main St, Du Quoin, IL 62832-1614 |
| Melody Hof | Physician Assistant | Southern Illinois Dermatology, PC | 111 W Main St, Du Quoin, IL 62832-1614 |
| Misty D Hammond | Nurse Practitioner | Southern Illinois Dermatology, PC | 111 W Main St, Du Quoin, IL 62832-1614 |
| Douglas R Cochran | Chiropractic | 301 N Hickory St, Du Quoin, IL 62832-1732 | |
| Find all physicians in zip 62832 | |||
| City | DU QUOIN |
| Zip Code | 62832 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DU QUOIN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mandie Bagwell.
| 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.