Alicia C Carmack (NPI# 1639560949, PAC ID# 8325366925) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1639560949 |
| PAC ID by PECOS | 8325366925 |
| Professional Enrollment ID | I20180920002661 |
| Full Name | Alicia C Carmack |
| Organization Legal Name | WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS INC |
| Address |
4000 N Illinois Ln Suite C Swansea IL 62226-1969 |
| Phone Number | 6182338000 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4789945163 |
| Number of Group Practice Members | 45 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140185 | MEMORIAL HOSPITAL |
| 140307 | METRO-EAST SERVICES INC |
| Address | Phone | Organization |
|---|---|---|
| 4000 N Illinois Ln, Suite C, Swansea, IL 62226-1969 | 6182338000 | WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS INC |
| Organization Legal Name | WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS INC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nishant Poddar | Medical Oncology | Washington University Physicians In Illinois Inc | 8 Sunset Hills Professional Ctr, Suite 100, Edwardsville, IL 62025-3760 |
| Stephanie M Perkins | Radiation Oncology | Washington University Physicians In Illinois Inc | 6 Memorial Dr, Bldg C, Alton, IL 62002-6751 |
| John L Visconti | Hematology/oncology | Washington University Physicians In Illinois Inc | 4000 N Illinois Ln, Suite C, Swansea, IL 62226-1969 |
| Michelle V Jacob | Nurse Practitioner | Washington University Physicians In Illinois Inc | 4000 N Illinois Ln, Swansea, IL 62226-1969 |
| Alfred O Greco | Medical Oncology | Washington University Physicians In Illinois Inc | 4000 N Illinois Ln, Suite C, Swansea, IL 62226-1969 |
| James M Close | Critical Care (intensivists) | Washington University Physicians In Illinois Inc | 4000 N Illinois Ln, Swansea, IL 62226-1969 |
| Lawrence Osei | Critical Care (intensivists) | Washington University Physicians In Illinois Inc | 4500 Memorial Dr, Belleville, IL 62226-5360 |
| Alexis A Mcallister | Nurse Practitioner | Washington University Physicians In Illinois Inc | 1414 Cross St, Suite 140, Shiloh, IL 62269-2988 |
| Eric M Yeager | Nurse Practitioner | Washington University Physicians In Illinois Inc | 4000 N Illinois Ln, Swansea, IL 62226-1969 |
| John Matthew Felder Iii | Plastic and Reconstructive Surgery | Washington University Physicians In Illinois Inc | 1 Memorial Dr, Alton, IL 62002-6722 |
| Street Address |
4000 N ILLINOIS LN SUITE C |
| City | SWANSEA |
| State | IL |
| Zip | 62226-1969 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Visconti | Hematology/oncology | Washington University Physicians In Illinois Inc | 4000 N Illinois Ln, Suite C, Swansea, IL 62226-1969 |
| Michelle V Jacob | Nurse Practitioner | Washington University Physicians In Illinois Inc | 4000 N Illinois Ln, Swansea, IL 62226-1969 |
| Alfred O Greco | Medical Oncology | Washington University Physicians In Illinois Inc | 4000 N Illinois Ln, Suite C, Swansea, IL 62226-1969 |
| James M Close | Critical Care (intensivists) | Washington University Physicians In Illinois Inc | 4000 N Illinois Ln, Swansea, IL 62226-1969 |
| Eric M Yeager | Nurse Practitioner | Washington University Physicians In Illinois Inc | 4000 N Illinois Ln, Swansea, IL 62226-1969 |
| William J Popovic | Hematology/oncology | Washington University Physicians In Illinois Inc | 4000 N Illinois Ln, Suite C, Swansea, IL 62226-1969 |
| Jason D Lee | Radiation Oncology | Southwest Illinois Health Services LLP | 4000 N Illinois Ln, Suite B, Swansea, IL 62226-1969 |
| Guillermo Rodriguez Jr. | Hematology/oncology | Washington University Physicians In Illinois Inc | 4000 N Illinois Ln, Suite C, Swansea, IL 62226-1969 |
| Susan J Laduzinsky | Radiation Oncology | Southwest Illinois Health Services LLP | 4000 N Illinois Ln, Suite B, Swansea, IL 62226-1969 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naheed T Bashir | Interventional Radiology | Interventional Pain Medicine LLC | 1 Bronze Pointe Blvd, Suite 1a, Swansea, IL 62226-1045 |
| Jennifer S Middendorf | Nurse Practitioner | Interventional Pain Medicine LLC | 1 Bronze Pointe Blvd, Suite 1a, Swansea, IL 62226-1045 |
| David L Eisenberg | Obstetrics/gynecology | Planned Parenthood of The St. Louis Region and Southwest Missouri | 4529 N Illinois St, Swansea, IL 62226-1534 |
| Jessica L Schneider | Nurse Practitioner | Planned Parenthood of The St. Louis Region and Southwest Missouri | 4529 N Illinois St, Swansea, IL 62226-1534 |
| Ashley R Brown | Clinical Social Worker | 4460 N Illinois St, Suite 7, Swansea, IL 62226-1899 | |
| Brandon Cory Steele | Chiropractic | Premier Rehab Ltd | 4460 N Illinois, Suite 5, Swansea, IL 62226-1899 |
| Timothy J Bertelsman | Chiropractic | Premier Rehab Ltd | 4460 N Illinois, Suite 5, Swansea, IL 62226-1899 |
| Robert Hellman | Anesthesiology | Eye Anesthesia LLC | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Homer A Ferguson Jr. | Ophthalmology | 3990 N Illinois St, Swansea, IL 62226-1919 | |
| Daniel P Walsh | Optometry | Jfj Eyecare Ltd | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Find all physicians in zip 62226 | |||
| City | SWANSEA |
| Zip Code | 62226 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SWANSEA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Alicia C Carmack.
| 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.