Leah Clem (NPI# 1336392596, PAC ID# 1658535950) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1336392596 |
| PAC ID by PECOS | 1658535950 |
| Professional Enrollment ID | I20120618000703 |
| Full Name | Leah Clem |
| Organization Legal Name | GOOD SAMARITAN REGIONAL HEALTH CENTER |
| Address |
1 Good Samaritan Way Mount Vernon IL 62864-2402 |
| Gender | F |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1658272059 |
| Number of Group Practice Members | 69 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140034 | SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA |
| 140046 | SSM HEALTH - GOOD SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 400 N Pleasant Ave, Centralia, IL 62801-3056 | 6184368000 | ST MARYS HOSPITAL CENTRALIA ILLINOIS |
| 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | GOOD SAMARITAN REGIONAL HEALTH CENTER | |
| 5 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 6188991264 | GOOD SAMARITAN REGIONAL HEALTH CENTER |
| 605 N 12th St, Mount Vernon, IL 62864-2857 | GOOD SAMARITAN REGIONAL HEALTH CENTER |
| Organization Legal Name | GOOD SAMARITAN REGIONAL HEALTH CENTER |
| Physicians | 60 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David I Blue | Certified Registered Nurse Anesthetist (crna) | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Lynn M Followell | Nurse Practitioner | Good Samaritan Regional Health Center | 605 N 12th St, Mount Vernon, IL 62864-2857 |
| Qing K Luo | Internal Medicine | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Rosa E Turcios | General Surgery | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Esther L Schulz | Family Medicine | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Norman E Howe | Certified Registered Nurse Anesthetist (crna) | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Irfan Choudhry | Internal Medicine | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Erica Lynne Ibendahl | General Surgery | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Kevin B Claffey | General Surgery | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Yvette Rene Walker | Anesthesiology | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Street Address |
1 GOOD SAMARITAN WAY |
| City | MOUNT VERNON |
| State | IL |
| Zip | 62864-2402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David I Blue | Certified Registered Nurse Anesthetist (crna) | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Qing K Luo | Internal Medicine | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Rosa E Turcios | General Surgery | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Esther L Schulz | Family Medicine | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Norman E Howe | Certified Registered Nurse Anesthetist (crna) | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Irfan Choudhry | Internal Medicine | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Erica Lynne Ibendahl | General Surgery | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Kevin B Claffey | General Surgery | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Yvette Rene Walker | Anesthesiology | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Misty Wernsman | Nurse Practitioner | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christa S Pestka | Family Medicine | Christopher Greater Area Rural Health Planning Corp | 2920 Veterans Pkwy, Mount Vernon, IL 62864 |
| Jacklyn Hedger | Nurse Practitioner | Christopher Greater Area Rural Health Planning Corp | 2920 Veterans Pkwy, Mount Vernon, IL 62864 |
| Lydia Ann Williams | Psychologist, Clinical | 4230 Lincolnshire Dr E, Mount Vernon, IL 62864-2189 | |
| Linden R Pearson | Family Medicine | 4230 Lincolnshire Dr G, Mount Vernon, IL 62864-2189 | |
| Kevin C Wright | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 3614 Victoria Ave, Mount Vernon, IL 62864-2208 |
| Mark C Hurst | Optometry | 4 Westwood Dr, Mount Vernon, IL 62864-2212 | |
| Jennifer L Craig | Optometry | J Bass Ltd | 112 S 42nd St, Mount Vernon, IL 62864-2243 |
| Jennifer R Bass | Optometry | J Bass Ltd | 112 S 42nd St, Mount Vernon, IL 62864-2243 |
| Troy W Johnson | Optometry | Clarkson Optometry Illinois PC | 3000 Broadway St, Mount Vernon, IL 62864-2340 |
| Erin Hocking Ayers | Optometry | Marion Eye Centers Ltd | 2900 Broadway St A, Mount Vernon, IL 62864-2341 |
| Find all physicians in zip 62864 | |||
| City | MOUNT VERNON |
| Zip Code | 62864 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MOUNT VERNON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Leah Clem.
| 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.