Robin Dailey (NPI# 1265893051, PAC ID# 5890084321) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1265893051 |
| PAC ID by PECOS | 5890084321 |
| Professional Enrollment ID | I20160523001042 |
| Full Name | Robin Dailey |
| Organization Legal Name | SOUTHERN ILLINOIS MEDICAL CARE ASSOCIATES LLC |
| Address |
406 W Saint Louis St West Frankfort IL 62896-1956 |
| Phone Number | 6189376300 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1557376993 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140184 | HEARTLAND REGIONAL MEDICAL CENTER |
| 140011 | SOUTHERN ILLINOIS HOSPITAL SERVICES DBA HERRIN HOSPITAL |
| 140164 | MEMORIAL HOSPITAL OF CARBONDALE |
| Address | Phone | Organization |
|---|---|---|
| 3411 Professional Park Dr, Marion, IL 62959-6394 | 6189972161 | SOUTHERN ILLINOIS MEDICAL CARE ASSOCIATES LLC |
| 406 W Saint Louis St, West Frankfort, IL 62896-1956 | 6189376300 | SOUTHERN ILLINOIS MEDICAL CARE ASSOCIATES LLC |
| Organization Legal Name | SOUTHERN ILLINOIS MEDICAL CARE ASSOCIATES LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda Raye Heatherly | Nurse Practitioner | Southern Illinois Medical Care Associates LLC | 106 S Vicksburg St, Marion, IL 62959-1930 |
| Robert M Swayze | Nurse Practitioner | Southern Illinois Medical Care Associates LLC | 1306 N Russell St, Marion, IL 62959-4570 |
| Suzanne Mary Burge | Family Medicine | Southern Illinois Medical Care Associates LLC | 3411 Professional Park Dr, Marion, IL 62959-6394 |
| Sherri K Parr | Physician Assistant | Southern Illinois Medical Care Associates LLC | 2700 W Deyoung St, Marion, IL 62959-4943 |
| Jamie L Hitt | Nurse Practitioner | Southern Illinois Medical Care Associates LLC | 3331 W Deyoung St, Suite 302, Marion, IL 62959-5708 |
| Lisa K Schloemann | Physician Assistant | Southern Illinois Medical Care Associates LLC | 2700 W Deyoung St, Marion, IL 62959-4943 |
| Jack D Keller | Family Medicine | Southern Illinois Medical Care Associates LLC | 1008 W Cherry St, Suite F, Marion, IL 62959-1998 |
| Jodi L Bryant | Family Medicine | Southern Illinois Medical Care Associates LLC | 2700 W Deyoung St, Marion, IL 62959-4943 |
| Amy Blandford | Nurse Practitioner | Southern Illinois Medical Care Associates LLC | 2700 W Deyoung St, Suite G, Marion, IL 62959-4950 |
| Nicholas Kyle Shockley | Nurse Practitioner | Southern Illinois Medical Care Associates LLC | 2700 W Deyoung St, Suite G, Marion, IL 62959-4950 |
| Street Address |
406 W SAINT LOUIS ST |
| City | WEST FRANKFORT |
| State | IL |
| Zip | 62896-1956 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Adkins | Nurse Practitioner | 406 W Saint Louis St, West Frankfort, IL 62896-1956 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danneille C Trujillo Hansen | Certified Clinical Nurse Specialist (cns) | 410 W Saint Louis St, West Frankfort, IL 62896-1956 | |
| Adam J Henson | Family Medicine | Southern Illinois Medical Services, Nfp | 502 W Saint Louis St, Suite 4, West Frankfort, IL 62896-1968 |
| Christopher S Shadowens | Physician Assistant | Southern Illinois Medical Services, Nfp | 502 W Saint Louis St, Suite 4, West Frankfort, IL 62896-1968 |
| Diana L Tomlianovich | Nurse Practitioner | Southern Illinois Medical Services, Nfp | 502 W Saint Louis St, Suite 4, West Frankfort, IL 62896-1968 |
| Wesley Ray Howell | Physician Assistant | Southern Illinois Medical Services, Nfp | 502 W Saint Louis St, Suite 4, West Frankfort, IL 62896-1968 |
| Meredith Grace Lukens | Physician Assistant | Southern Illinois Medical Services, Nfp | 502 W Saint Louis St, Suite 4, West Frankfort, IL 62896-1968 |
| Elizabeth A Parks | Physician Assistant | Southern Illinois Medical Services, Nfp | 502 W Saint Louis St, Suite 4, West Frankfort, IL 62896-1968 |
| Rachel Lynn Terrill | Physician Assistant | Southern Illinois Medical Services, Nfp | 502 W Saint Louis St, Suite 4, West Frankfort, IL 62896-1968 |
| Austin M Stallings | Physician Assistant | Southern Illinois Medical Services, Nfp | 502 W Saint Louis St, Suite 4, West Frankfort, IL 62896-1968 |
| Sarah Elizabeth Asaturian | Physician Assistant | Southern Illinois Medical Services, Nfp | 502 W Saint Louis St, Suite 4, West Frankfort, IL 62896-1968 |
| Find all physicians in zip 62896 | |||
| City | WEST FRANKFORT |
| Zip Code | 62896 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WEST FRANKFORT + NURSE PRACTITIONER |
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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.