Jennifer Bryant (NPI# 1043729189, PAC ID# 7113293945) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1043729189 |
| PAC ID by PECOS | 7113293945 |
| Professional Enrollment ID | I20171024000817 |
| Full Name | Jennifer Bryant |
| Organization Legal Name | MID-ILLINOIS MEDICAL CARE ASSOCIATES LLC |
| Address |
1000 Red Ball Trl Greenville IL 62246-2781 |
| Phone Number | 2173472707 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0446159735 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140137 | GREENVILLE REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1000 Red Ball Trl, Greenville, IL 62246-2781 | 2173472707 | MID-ILLINOIS MEDICAL CARE ASSOCIATES LLC |
| Organization Legal Name | MID-ILLINOIS MEDICAL CARE ASSOCIATES LLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernard H Habing | Nurse Practitioner | Mid-illinois Medical Care Associates LLC | 206 N Pearl St, Teutopolis, IL 62467-1134 |
| Andrew R Gage | Family Medicine | Mid-illinois Medical Care Associates LLC | 512 N Maple St, Effingham, IL 62401-2005 |
| Becky L Mcginnis | Nurse Practitioner | Mid-illinois Medical Care Associates LLC | 601 W Washington St, Suite 1, Newton, IL 62448-1249 |
| John P. Opilka | Family Medicine | Mid-illinois Medical Care Associates LLC | 5 E Cumberland Rd, Altamont, IL 62411-1271 |
| Eric Anthony Bloemer | Family Medicine | Mid-illinois Medical Care Associates LLC | 601 W Washington St, Suite 1, Newton, IL 62448-1249 |
| Kendra L Zerrusen | Nurse Practitioner | Mid-illinois Medical Care Associates LLC | 512 N Maple St, Effingham, IL 62401-2005 |
| Stacia Fallert | Nurse Practitioner | Mid-illinois Medical Care Associates LLC | 601 W Washington St, Suite 1, Newton, IL 62448-1249 |
| Carol R Warfield | Nurse Practitioner | Mid-illinois Medical Care Associates LLC | 512 N Maple St, Effingham, IL 62401-2005 |
| Sean P Flynn | Family Medicine | Mid-illinois Medical Care Associates LLC | 512 N Maple St, Effingham, IL 62401-2005 |
| Kelsey M Hopkins | Family Medicine | Mid-illinois Medical Care Associates LLC | 1000 Red Ball Trl, Greenville, IL 62246-2781 |
| Street Address |
1000 RED BALL TRL |
| City | GREENVILLE |
| State | IL |
| Zip | 62246-2781 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey M Hopkins | Family Medicine | Mid-illinois Medical Care Associates LLC | 1000 Red Ball Trl, Greenville, IL 62246-2781 |
| Philip E Siefken | Pediatric Medicine | Mid-illinois Medical Care Associates LLC | 1000 Red Ball Trl, Greenville, IL 62246-2781 |
| Heather Marie Beckert | Nurse Practitioner | Mid-illinois Medical Care Associates LLC | 1000 Red Ball Trl, Greenville, IL 62246-2781 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James R Goggin | Family Medicine | Fayette County Hospital District | 308 W College Ave, Greenville, IL 62246-1019 |
| Andrew S Goggin | Family Medicine | Fayette County Hospital District | 308 W College Ave, Greenville, IL 62246-1019 |
| Vaughn L Robart | Clinical Social Worker | Jubilee House Outreach | 417 W College Ave, Greenville, IL 62246-1020 |
| Melanie C Schaafsma | Clinical Social Worker | Jubilee House Outreach | 417 W College Ave, Greenville, IL 62246-1020 |
| Lisa L Tindall | Nurse Practitioner | Specialized Wound Management LLC | 200 Healthcare Dr, Edward A Utlaut Mem, Greenville, IL 62246-1154 |
| David J Bitzer | Urology | Hshs Medical Group Inc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Steven D Donnan | Certified Registered Nurse Anesthetist (crna) | Hshs Holy Family Hospital Inc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Asim I Elmahboub | Internal Medicine | Cep America-illinois Hospitalists LLP | 200 Health Care Dr, Greenville, IL 62246-1154 |
| John R Willis | Diagnostic Radiology | Mid America Radiology Sc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Prashanth C Shekar | Diagnostic Radiology | Mid America Radiology Sc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Find all physicians in zip 62246 | |||
| City | GREENVILLE |
| Zip Code | 62246 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GREENVILLE + NURSE PRACTITIONER |
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| 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.