Candace D Charles (NPI# 1922284504, PAC ID# 1658505573) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1922284504 |
| PAC ID by PECOS | 1658505573 |
| Professional Enrollment ID | I20131009000416 |
| Full Name | Candace D Charles |
| Organization Legal Name | INTERVENTIONAL PAIN CONSULTANTS LLC |
| Address |
3 Professional Dr Suite B Alton IL 62002-5067 |
| Phone Number | 6184657177 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7618225020 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140185 | MEMORIAL HOSPITAL |
| 140187 | HSHS ST ELIZABETH'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3 Professional Dr, Suite B, Alton, IL 62002-5067 | 6184657177 | INTERVENTIONAL PAIN CONSULTANTS LLC |
| 4972 Benchmark Centre Dr, Suite 400, Swansea, IL 62226-2070 | 6187262500 | INTERVENTIONAL PAIN CONSULTANTS LLC |
| Organization Legal Name | INTERVENTIONAL PAIN CONSULTANTS LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wynndel Buenger | Interventional Pain Management | Interventional Pain Consultants LLC | 3 Professional Dr, Suite B, Alton, IL 62002-5067 |
| Tricia Clayton | Nurse Practitioner | Interventional Pain Consultants LLC | 3 Professional Dr, Suite B, Alton, IL 62002-5067 |
| Katie A Barnard | Nurse Practitioner | Interventional Pain Consultants LLC | 3 Professional Dr, Suite B, Alton, IL 62002-5067 |
| Brandy Byrd | Nurse Practitioner | Interventional Pain Consultants LLC | 3 Professional Dr, Suite B, Alton, IL 62002-5067 |
| Street Address |
3 PROFESSIONAL DR SUITE B |
| City | ALTON |
| State | IL |
| Zip | 62002-5067 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wynndel Buenger | Interventional Pain Management | Interventional Pain Consultants LLC | 3 Professional Dr, Suite B, Alton, IL 62002-5067 |
| Tricia Clayton | Nurse Practitioner | Interventional Pain Consultants LLC | 3 Professional Dr, Suite B, Alton, IL 62002-5067 |
| Katie A Barnard | Nurse Practitioner | Interventional Pain Consultants LLC | 3 Professional Dr, Suite B, Alton, IL 62002-5067 |
| Brandy Byrd | Nurse Practitioner | Interventional Pain Consultants LLC | 3 Professional Dr, Suite B, Alton, IL 62002-5067 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina J Levi | Optometry | Nu-crown, LLC | 406 E Broadway, Alton, IL 62002-2417 |
| Chih Jen Wang | Optometry | Nu-crown, LLC | 406 E Broadway, Alton, IL 62002-2417 |
| Elaina Ward | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Carol Worthington | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Donna J Boone | Addiction Medicine | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Jennifer Gerlach | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Olivia M Winters | Nurse Practitioner | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Sarah Viliocco | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Rebecca Ashworth-rhein | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Brittany L Mccrady | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Find all physicians in zip 62002 | |||
| City | ALTON |
| Zip Code | 62002 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ALTON + PHYSICIAN ASSISTANT |
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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.