Paula Scheetz Mackrides (NPI# 1316924087, PAC ID# 8426010554) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1316924087 |
PAC ID by PECOS | 8426010554 |
Professional Enrollment ID | I20041101000989 |
Full Name | Paula Scheetz Mackrides |
Organization Legal Name | BLESSING HOSPITAL |
Address |
102 Prairie Mills Rd Golden IL 62339-1055 |
Phone Number | 2172238400 |
Gender | F |
Credential | DO |
Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 1987 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 3072422534 |
Number of Group Practice Members | 73 |
Accepts Medicare Assignment | M |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140015 | BLESSING HOSPITAL |
Address | Phone | Organization |
---|---|---|
102 Prairie Mills Rd, Golden, IL 62339-1055 | 2172238400 | BLESSING HOSPITAL |
612 N 11th St, Quincy, IL 62301-2662 | 2172249484 | BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY |
Organization Legal Name | BLESSING HOSPITAL |
Physicians | 69 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelly Blakeman | Certified Registered Nurse Anesthetist (crna) | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
Sharon Olson | Nurse Practitioner | Blessing Hospital | 936 Broadway St, Quincy, IL 62301-2731 |
Angelo Llana Jr. | Internal Medicine | Blessing Hospital | 6000 Hospital Dr, Hannibal, MO 63401-6887 |
David J Evelti | Anesthesiology | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
Joseph V Meyer | Anesthesiology | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
Mark Richard Baker | Emergency Medicine | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
Robert Johnson | Radiation Oncology | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
Michael N Skaredoff | Anesthesiology | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
Erin Lewellen | Nurse Practitioner | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
Linh Thuy Nguyen | Anesthesiology | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
Street Address |
102 PRAIRIE MILLS RD |
City | GOLDEN |
State | IL |
Zip | 62339-1055 |
Name | Specialty | Organization | Address |
---|---|---|---|
Donna Lyn White | Family Medicine | Blessing Hospital | 102 Prairie Mills Rd, Golden, IL 62339-1055 |
City | GOLDEN |
Zip Code | 62339 |
Specialty | FAMILY MEDICINE |
City + Specialty | GOLDEN + FAMILY MEDICINE |
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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.