Stacia Fallert (NPI# 1164626826, PAC ID# 7810264298) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164626826 |
| PAC ID by PECOS | 7810264298 |
| Professional Enrollment ID | I20170607000378 |
| Full Name | Stacia Fallert |
| Organization Legal Name | MID-ILLINOIS MEDICAL CARE ASSOCIATES LLC |
| Address |
601 W Washington St Suite 1 Newton IL 62448-1249 |
| Phone Number | 2173472707 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| 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 |
|---|---|---|
| 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 21734234002414 | BONUTTI ORTHOPEDIC SERVICES LTD |
| 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 |
| 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 |
| Kelsey M Hopkins | Family Medicine | Mid-illinois Medical Care Associates LLC | 1000 Red Ball Trl, Greenville, IL 62246-2781 |
| Street Address |
601 W WASHINGTON ST SUITE 1 |
| City | NEWTON |
| State | IL |
| Zip | 62448-1249 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Becky L Mcginnis | Nurse Practitioner | Mid-illinois Medical Care Associates LLC | 601 W Washington St, Suite 1, Newton, IL 62448-1249 |
| Eric Anthony Bloemer | Family Medicine | Mid-illinois Medical Care Associates LLC | 601 W Washington St, Suite 1, Newton, IL 62448-1249 |
| Tammy Andes | Nurse Practitioner | Mid-illinois Medical Care Associates LLC | 601 W Washington St, Suite 1, Newton, IL 62448-1249 |
| Charles W. Runde | Family Medicine | Mid-illinois Medical Care Associates LLC | 601 W Washington St, Suite 1, Newton, IL 62448-1249 |
| Emily M Ruholl | Nurse Practitioner | Mid-illinois Medical Care Associates LLC | 601 W Washington St, Suite 1, Newton, IL 62448-1249 |
| John U Merkel | Family Medicine | Mid-illinois Medical Care Associates LLC | 601 W Washington St, Suite 1, Newton, IL 62448-1249 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Niebrugge | Nurse Practitioner | Consolidated Community Medical Centers, S.c. | 804 W Jourdan St, Newton, IL 62448-1060 |
| Adam J Wolf | Optometry | 301 S Jackson St, Newton, IL 62448-1207 | |
| Tanner M Miller | Internal Medicine | Richland Memorial Hospital Inc | 500 S Scott Ave, Newton, IL 62448-1665 |
| Paul W Sutherland | General Surgery | Richland Memorial Hospital Inc | 500 S Scott Ave, Newton, IL 62448-1665 |
| Marcia A Street | Nurse Practitioner | Richland Memorial Hospital Inc | 500 S Scott Ave, Newton, IL 62448-1665 |
| Drew E Schmucker | Family Medicine | Richland Memorial Hospital Inc | 500 S Scott Ave, Newton, IL 62448-1665 |
| Janet Stierwalt | Nurse Practitioner | Richland Memorial Hospital Inc | 500 S Scott Ave, Newton, IL 62448-1665 |
| Patricia M Fulton | Nurse Practitioner | Sarah Bush Lincoln Health Center | 910 S Van Buren St, Newton, IL 62448-1727 |
| Holly L Harris | Clinical Social Worker | County of Jasper | 106 Edwards St, Newton, IL 62448-1736 |
| Sharon K Helregel | Clinical Social Worker | County of Jasper | 106 Edwards St, Newton, IL 62448-1736 |
| Find all physicians in zip 62448 | |||
| City | NEWTON |
| Zip Code | 62448 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NEWTON + 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.