Mary Beck (NPI# 1124579099, PAC ID# 4385918556) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1124579099 |
| PAC ID by PECOS | 4385918556 |
| Professional Enrollment ID | I20170927000818 |
| Full Name | Mary Beck |
| Organization Legal Name | GRANITE CITY ILLINOIS HOSPITAL COMPANY LLC |
| Address |
4273s State Route 159 Glen Carbon IL 62034-3224 |
| Phone Number | 6182882297 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2668389438 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140059 | JERSEY COMMUNITY HOSPITAL |
| 141347 | CARLINVILLE AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 20733 N Broad St, Carlinville, IL 62626-3710 | 2178543141 | CARLINVILLE AREA HOSPITAL ASSOCIATION |
| 1000 11th, Suite 1a, Columbia, IL 62236 | 6182882297 | GRANITE CITY ILLINOIS HOSPITAL COMPANY LLC |
| 4273s State Route 159, Glen Carbon, IL 62034-3224 | 6182882297 | GRANITE CITY ILLINOIS HOSPITAL COMPANY LLC |
| 400 Maple Summit Rd, Jerseyville, IL 62052-2028 | 6184986402 | JERSEY COMMUNITY HOSPITAL |
| Organization Legal Name | GRANITE CITY ILLINOIS HOSPITAL COMPANY LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie Lutman | Nurse Practitioner | Granite City Illinois Hospital Company LLC | 4273s State Route 159, Glen Carbon, IL 62034-3224 |
| Derek Pechacek | Nurse Practitioner | Granite City Illinois Hospital Company LLC | 4273s State Route 159, Glen Carbon, IL 62034-3224 |
| Megan Mihelcic | Nurse Practitioner | Granite City Illinois Hospital Company LLC | 4273s State Route 159, Glen Carbon, IL 62034-3224 |
| Kelley R Campbell | Nurse Practitioner | Granite City Illinois Hospital Company LLC | 4273s State Route 159, Glen Carbon, IL 62034-3224 |
| Danielle Bogue | Nurse Practitioner | Granite City Illinois Hospital Company LLC | 4273s State Route 159, Glen Carbon, IL 62034-3224 |
| Jeffrey Arendell | Emergency Medicine | Granite City Illinois Hospital Company LLC | 4273s State Route 159, Glen Carbon, IL 62034-3224 |
| Janae Korte | Nurse Practitioner | Granite City Illinois Hospital Company LLC | 4273s State Route 159, Glen Carbon, IL 62034-3224 |
| Jordan Priebe | Nurse Practitioner | Granite City Illinois Hospital Company LLC | 4273s State Route 159, Glen Carbon, IL 62034-3224 |
| Cari L Stefani | Nurse Practitioner | Granite City Illinois Hospital Company LLC | 4273s State Route 159, Glen Carbon, IL 62034-3224 |
| Joellen Juenger | Nurse Practitioner | Granite City Illinois Hospital Company LLC | 4273s State Route 159, Glen Carbon, IL 62034-3224 |
| Street Address |
4273S STATE ROUTE 159 |
| City | GLEN CARBON |
| State | IL |
| Zip | 62034-3224 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie Lutman | Nurse Practitioner | Granite City Illinois Hospital Company LLC | 4273s State Route 159, Glen Carbon, IL 62034-3224 |
| Derek Pechacek | Nurse Practitioner | Granite City Illinois Hospital Company LLC | 4273s State Route 159, Glen Carbon, IL 62034-3224 |
| Megan Mihelcic | Nurse Practitioner | Granite City Illinois Hospital Company LLC | 4273s State Route 159, Glen Carbon, IL 62034-3224 |
| Kelley R Campbell | Nurse Practitioner | Granite City Illinois Hospital Company LLC | 4273s State Route 159, Glen Carbon, IL 62034-3224 |
| Danielle Bogue | Nurse Practitioner | Granite City Illinois Hospital Company LLC | 4273s State Route 159, Glen Carbon, IL 62034-3224 |
| Jeffrey Arendell | Emergency Medicine | Granite City Illinois Hospital Company LLC | 4273s State Route 159, Glen Carbon, IL 62034-3224 |
| Janae Korte | Nurse Practitioner | Granite City Illinois Hospital Company LLC | 4273s State Route 159, Glen Carbon, IL 62034-3224 |
| Jordan Priebe | Nurse Practitioner | Granite City Illinois Hospital Company LLC | 4273s State Route 159, Glen Carbon, IL 62034-3224 |
| Cari L Stefani | Nurse Practitioner | Granite City Illinois Hospital Company LLC | 4273s State Route 159, Glen Carbon, IL 62034-3224 |
| Joellen Juenger | Nurse Practitioner | Granite City Illinois Hospital Company LLC | 4273s State Route 159, Glen Carbon, IL 62034-3224 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Cottrell | Nurse Practitioner | Granite City Clinic Corp | 4273 S State Route 159, Second Floor, Glen Carbon, IL 62034 |
| Michael J Walter | Critical Care (intensivists) | Granite City Clinic Corp | 4273 S State Route 159, Second Floor, Glen Carbon, IL 62034 |
| Richard C Coy | Chiropractic | Optimum Wellness and Rehabilitation PC | 3407s State Route 157 1, Glen Carbon, IL 62034-1042 |
| Jim Jiantao Hong | Family Medicine | 104 Magnolia Dr, Suite A, Glen Carbon, IL 62034-1595 | |
| Emily A Brueggeman | Chiropractic | 108 Magnolia Dr A, Glen Carbon, IL 62034-1595 | |
| Nikole L Hunter | Chiropractic | Brueggeman Chiropractic Center LLC | 108 Magnolia Dr A, Glen Carbon, IL 62034-1595 |
| Haresh K Motwani | Family Medicine | 27 Auerbach Place, Glen Carbon, IL 62034-1596 | |
| Barton Lynn Blackorby | Ophthalmology | Retina Consultants Ltd | 5 Country Club Executive Park, Glen Carbon, IL 62034-1702 |
| Alisha A White | Internal Medicine | 4 Country Club Executive Park, Glen Carbon, IL 62034-1702 | |
| Ryan J Cleland | Chiropractic | Infinite Wellness Chiropractic Ltd | 220 Evergreen Ln, Unit B, Glen Carbon, IL 62034-1714 |
| Find all physicians in zip 62034 | |||
| City | GLEN CARBON |
| Zip Code | 62034 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GLEN CARBON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary Beck.
| 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.