Debra Ann Carson (NPI# 1043410392, PAC ID# 5799967410) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1043410392 |
| PAC ID by PECOS | 5799967410 |
| Professional Enrollment ID | I20110316000579 |
| Full Name | Debra Ann Carson |
| Organization Legal Name | PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC |
| Address |
201 Bailey Ln Benton IL 62812-1969 |
| Gender | F |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9234022567 |
| Number of Group Practice Members | 88 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140034 | SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA |
| 140145 | ST JOSEPHS HOSPITAL |
| 141321 | FRANKLIN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 201 Bailey Ln, Benton, IL 62812-1969 | PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC | |
| 430 N Pleasant Ave, Centralia, IL 62801-3006 | 6189975266 | HEARTLAND WOMEN'S HEALTHCARE LTD |
| 929 Stacey Burk Dr, Flora, IL 62839-3241 | 6186622191 | PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC |
| 3408 Office Park Dr, Marion, IL 62959-6477 | 6189975266 | HEARTLAND WOMEN'S HEALTHCARE LTD |
| 1407 Mcpherson Ave, Mount Vernon, IL 62864-2822 | 6189975266 | HEARTLAND WOMEN'S HEALTHCARE LTD |
| 2 Good Samaritan Way, Suite 320, Mount Vernon, IL 62864-2408 | 6188991944 | PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC |
| 5 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 6188991264 | PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC |
| 101 N Walnut St, Pinckneyville, IL 62274-1034 | 6189975266 | HEARTLAND WOMEN'S HEALTHCARE LTD |
| 1197 Fortune Blvd, Shiloh, IL 62269-7377 | 6189975266 | HEARTLAND WOMEN'S HEALTHCARE LTD |
| 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 |
| Nida Subhani | Internal Medicine | Physician Services Corporation of Southern Illinois Inc | 602 S 42nd St, B, Mount Vernon, IL 62864-6264 |
| Naresh K Ahuja | General Surgery | Physician Services Corporation of Southern Illinois Inc | 2 Good Samaritan Way, Suite 235, Mount Vernon, IL 62864-2476 |
| Street Address |
201 BAILEY LN |
| City | BENTON |
| State | IL |
| Zip | 62812-1969 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna S Spencer | Optometry | 711 N Main St, Benton, IL 62812-1017 | |
| David K Spencer | Optometry | 711 N Main St, Benton, IL 62812-1017 | |
| Dennis R Mcguire | Chiropractic | 805 N Main St, Benton, IL 62812-1019 | |
| Eric Weinbauer | Optometry | Marion Eye Centers Ltd | 1102 N Main St, Benton, IL 62812-1022 |
| Sheila A Sneddon | Optometry | Marion Eye Centers Ltd | 1102 N Main St, Benton, IL 62812-1022 |
| Darla J Spain | Nurse Practitioner | Physician Services Corporation of Southern Illinois Inc | 501 N Du Quoin St, Benton, IL 62812-1224 |
| Julie S Teel | Chiropractic | 509 W Main St, Benton, IL 62812-1328 | |
| Carmen J House | Chiropractic | 106 W Washington St, Benton, IL 62812-1337 | |
| Matthew L Morris | Occupational Therapy | Herron Rehab and Wellness Center, S.c. | 106 W Washington St, Benton, IL 62812-1337 |
| Kent A Herron | Chiropractic | Herron Rehab and Wellness Center, S.c. | 106 W Washington St, Benton, IL 62812-1337 |
| Find all physicians in zip 62812 | |||
| City | BENTON |
| Zip Code | 62812 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BENTON + OBSTETRICS/GYNECOLOGY |
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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.