Michelle R Burwell (NPI# 1841239316, PAC ID# 2264327253) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1841239316 |
| PAC ID by PECOS | 2264327253 |
| Professional Enrollment ID | I20040304000625 |
| Full Name | Michelle R Burwell |
| Organization Legal Name | PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC |
| Address |
17884 Exchange Ave Nashville IL 62263-3418 |
| Phone Number | 6183278486 |
| Gender | F |
| Credential | PA |
| Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9234022567 |
| Number of Group Practice Members | 88 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140046 | SSM HEALTH - GOOD SAMARITAN HOSPITAL |
| 141321 | FRANKLIN HOSPITAL |
| 140294 | CROSSROADS COMMUNITY HOSPITAL |
| 140034 | SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA |
| Address | Phone | Organization |
|---|---|---|
| 501 N Du Quoin St, Benton, IL 62812-1224 | 6184355362 | PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC |
| 2 Good Samaritan Way, Suite 320, Mount Vernon, IL 62864-2408 | 6188991944 | PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC |
| 2 Good Samaritan Way, Mount Vernon, IL 62864-2476 | PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC | |
| 5 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 6188991264 | PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC |
| 602 S 42nd St, Mount Vernon, IL 62864-6264 | PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC | |
| 17884 Exchange Ave, Nashville, IL 62263-3418 | 6183278486 | PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC |
| Organization Legal Name | PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC |
| Physicians | 62 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Lynn Chapman | Nurse Practitioner | Physician Services Corporation of Southern Illinois Inc | 1003 E Mccord St, Centralia, IL 62801-3345 |
| Murugavel M Muthusamy | Hematology/oncology | Physician Services Corporation of Southern Illinois Inc | 1052 Martin Luther King Dr, Suite 100, Centralia, IL 62801-3002 |
| Darla J Spain | Nurse Practitioner | Physician Services Corporation of Southern Illinois Inc | 501 N Du Quoin St, Benton, IL 62812-1224 |
| Tamara E Copeland | Nurse Practitioner | Physician Services Corporation of Southern Illinois Inc | 4106 S Water Tower Pl, Mount Vernon, IL 62864-6544 |
| Stella C Johnson | Nurse Practitioner | Physician Services Corporation of Southern Illinois Inc | 5 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Katina Candee | Physician Assistant | Physician Services Corporation of Southern Illinois Inc | 602 S 42nd St B, Mount Vernon, IL 62864-6264 |
| Karla R Webb | Nurse Practitioner | Physician Services Corporation of Southern Illinois Inc | 402 N Pleasant Ave, Centralia, IL 62801-3006 |
| Melissa Karaffa | Nurse Practitioner | Physician Services Corporation of Southern Illinois Inc | 1054 M L King Dr, Centralia, IL 62801-3066 |
| Debra Ann Carson | Obstetrics/gynecology | Physician Services Corporation of Southern Illinois Inc | 201 Bailey Ln, Benton, IL 62812-1969 |
| Nida Subhani | Internal Medicine | Physician Services Corporation of Southern Illinois Inc | 602 S 42nd St, B, Mount Vernon, IL 62864-6264 |
| Street Address |
17884 EXCHANGE AVE |
| City | NASHVILLE |
| State | IL |
| Zip | 62263-3418 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cathy D Lisenby | Physician Assistant | Physician Services Corporation of Southern Illinois Inc | 17884 Exchange Ave, Nashville, IL 62263-3418 |
| Sudeep A Nair | Internal Medicine | Physician Services Corporation of Southern Illinois Inc | 17884 Exchange Ave, Nashville, IL 62263-3418 |
| Nicole L Vetter | Nurse Practitioner | Physician Services Corporation of Southern Illinois Inc | 17884 Exchange Ave, Nashville, IL 62263-3418 |
| Jason Andrew Davison | Nurse Practitioner | Physician Services Corporation of Southern Illinois Inc | 17884 Exchange Ave, Nashville, IL 62263-3418 |
| Matthew L Sojka | Family Practice | Physician Services Corporation of Southern Illinois Inc | 17884 Exchange Ave, Nashville, IL 62263-3418 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea S Baldwin | Nurse Practitioner | Washington County Hospital District | 705 S Grand St, Nashville, IL 62263-1534 |
| Deborah L Auld | Physician Assistant | Washington County Hospital District | 705 S Grand St, Nashville, IL 62263-1534 |
| Alfonso E Urdaneta | Family Medicine | Washington County Hospital District | 705 S Grand St, Nashville, IL 62263-1534 |
| Phillip G Apprill | Cardiovascular Disease (cardiology) | Ssm Medical Group Inc | 705 S Grand St, Nashville, IL 62263-1534 |
| Simeon J E Grater | Family Medicine | Washington County Hospital District | 705 S Grand St, Nashville, IL 62263-1534 |
| Richard K Baker | Nurse Practitioner | Washington County Hospital District | 705 S Grand St, Nashville, IL 62263-1534 |
| Pamela S Lowry | Nurse Practitioner | Washington County Hospital District | 705 S Grand St, Nashville, IL 62263-1534 |
| Crystal S Jesenick | Nurse Practitioner | Washington County Hospital District | 705 S Grand St, Nashville, IL 62263-1534 |
| Syed A Shah | Neurology | 705 S Grand St, Nashville, IL 62263-1534 | |
| Ginger A Fewell | Family Medicine | Washington County Hospital District | 705 S Grand St, Nashville, IL 62263-1534 |
| Find all physicians in zip 62263 | |||
| City | NASHVILLE |
| Zip Code | 62263 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NASHVILLE + 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.