Jeremy S Bowen (NPI# 1972615920, PAC ID# 7012907124) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1972615920 |
| PAC ID by PECOS | 7012907124 |
| Professional Enrollment ID | I20070112000209 |
| Full Name | Jeremy S Bowen |
| Organization Legal Name | PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC |
| Address |
1003 E Mccord St Centralia IL 62801-3345 |
| Phone Number | 6184366633 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1999 |
| 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 |
|---|---|
| 140034 | SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA |
| Address | Phone | Organization |
|---|---|---|
| 1003 E Mccord St, Centralia, IL 62801-3345 | 6184366633 | 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 |
| 5 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 6188991264 | 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 |
1003 E MCCORD ST |
| City | CENTRALIA |
| State | IL |
| Zip | 62801-3345 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Lynn Chapman | Nurse Practitioner | Physician Services Corporation of Southern Illinois Inc | 1003 E Mccord St, Centralia, IL 62801-3345 |
| Ferdinand Apostol | Internal Medicine | Physician Services Corporation of Southern Illinois Inc | 1003 E Mccord St, Centralia, IL 62801-3345 |
| Donna A Jewell | Nurse Practitioner | Physician Services Corporation of Southern Illinois Inc | 1003 E Mccord St, Centralia, IL 62801-3345 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A West | Psychiatry | Community Resource Center Inc | 904 E Martin Luther King Dr, Centralia, IL 62801 |
| Bernard E Rerri | Orthopedic Surgery | 938 Ml King Dr, Centralia, IL 62801 | |
| Balavittal Varanasi | Family Medicine | 936 Martin Luther King Dr, Centralia, IL 62801 | |
| Corrinne Kleiboeker | Clinical Social Worker | Community Resource Center Inc | 904 E Martin Luther King Dr, Centralia, IL 62801 |
| Kurt S Williams | Chiropractic | Berger Chiropractic Office LLC | 315 N Elm St, Centralia, IL 62801-2954 |
| Joshua J Berger | Chiropractic | Berger Chiropractic Office LLC | 315 N Elm St, Centralia, IL 62801-2954 |
| Tammy L Pike | Clinical Nurse Specialist | Physician Services Corporation of Southern Illinois Inc | 1054 M L King Dr, Suite 105, Centralia, IL 62801-3000 |
| Ronald D Lyons | Clinical Social Worker | 1065 M L King Dr, Centralia, IL 62801-3001 | |
| Cheryl Rushing | Physical Therapy | Orthopaedic Center of Southern Illinois, Ltd | 1007 Ml King Dr, Suite 3, Centralia, IL 62801-3001 |
| Mark A Murfin Jr. | General Surgery | 1063 Martin Luther King Dr, Centralia, IL 62801-3001 | |
| Find all physicians in zip 62801 | |||
| City | CENTRALIA |
| Zip Code | 62801 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CENTRALIA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jeremy S Bowen.
| 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.