Michelle R Braddy (NPI# 1619068061, PAC ID# 5597869339) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1619068061 |
| PAC ID by PECOS | 5597869339 |
| Professional Enrollment ID | I20080829000033 |
| Full Name | Michelle R Braddy |
| Organization Legal Name | MID-ILLINOIS MEDICAL CARE ASSOCIATES LLC |
| Address |
512 N Maple St Effingham IL 62401-2005 |
| Phone Number | 2173477030 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0446159735 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140032 | ST ANTHONYS MEMORIAL HOSPITAL |
| 140189 | SARAH BUSH LINCOLN HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 203 S Main St, Dieterich, IL 62424-1128 | 2179255730 | MID-ILLINOIS MEDICAL CARE ASSOCIATES LLC |
| 512 N Maple St, Effingham, IL 62401-2005 | 2173477030 | MID-ILLINOIS MEDICAL CARE ASSOCIATES LLC |
| 601 W Washington St, Suite 1, Newton, IL 62448-1249 | 2173472707 | MID-ILLINOIS MEDICAL CARE ASSOCIATES LLC |
| Organization Legal Name | MID-ILLINOIS MEDICAL CARE ASSOCIATES LLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Bryant | Nurse Practitioner | Mid-illinois Medical Care Associates LLC | 1000 Red Ball Trl, Greenville, IL 62246-2781 |
| 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 |
| Street Address |
512 N MAPLE ST |
| City | EFFINGHAM |
| State | IL |
| Zip | 62401-2005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew R Gage | Family Medicine | Mid-illinois Medical Care Associates LLC | 512 N Maple St, Effingham, IL 62401-2005 |
| Kendra L Zerrusen | Nurse Practitioner | Mid-illinois Medical Care Associates LLC | 512 N Maple St, Effingham, IL 62401-2005 |
| 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 |
| Susan Esker | Nurse Practitioner | Mid-illinois Medical Care Associates, LLC | 512 N Maple St, Effingham, IL 62401-2005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul G Rhodes | Chiropractic | 200 E Fayette Ave, Effingham, IL 62401-0022 | |
| Lenora M Drees | Nurse Practitioner | Family Care Associates of Effingham, S.c. | 1106 N Merchant St Po Box, Suite 665, Effingham, IL 62401-0665 |
| P Dharmadev D Nayak | Urology | Effingham Urology Associates Sc | 414 W Virginia Ave, Effingham, IL 62401-1169 |
| Angela D Yocom | Nurse Practitioner | Effingham Urology Associates Sc | 414 W Virginia Ave, Effingham, IL 62401-1169 |
| Alicia J Davis | Nurse Practitioner | Effingham Urology Associates Sc | 414 W Virginia Ave, Effingham, IL 62401-1169 |
| Karl S. Rudert | Emergency Medicine | Bonutti Orthopedic Services Ltd | 1303 W Evergreen Ave, Suite 101, Effingham, IL 62401-1619 |
| Christopher P Weber | Optometry | Weber Optiks Inc | 1301 W Evergreen Ave, Suite B, Effingham, IL 62401-1634 |
| Anthony R Weber | Optometry | Weber Optiks Inc | 1301 W Evergreen Ave, Suite B, Effingham, IL 62401-1634 |
| Frank S Lee | Orthopedic Surgery | Bonutti Orthopedic Services Ltd | 1303 W Evergreen Ave, Effingham, IL 62401-1638 |
| Joseph M Ajdinovich | Orthopedic Surgery | Bonutti Orthopedic Services Ltd | 1303 W Evergreen Ave, Effingham, IL 62401-1638 |
| Find all physicians in zip 62401 | |||
| City | EFFINGHAM |
| Zip Code | 62401 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EFFINGHAM + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michelle R Braddy.
| 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.