Cassandra Marie Vestal (NPI# 1790346419, PAC ID# 8426384264) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1790346419 |
PAC ID by PECOS | 8426384264 |
Professional Enrollment ID | I20190731002324 |
Full Name | Cassandra Marie Vestal |
Organization Legal Name | PAIN MANAGEMENT CENTER SC |
Address |
108 N Division St Carterville IL 62918-1245 |
Phone Number | 6189853929 |
Gender | F |
Graduation Year | 2019 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 6709840358 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
108 N Division St, Carterville, IL 62918-1245 | 6189853929 | PAIN MANAGEMENT CENTER SC |
Organization Legal Name | PAIN MANAGEMENT CENTER SC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Babu Prasad | Interventional Pain Management | Pain Management Center Sc | 108 N Division St, Carterville, IL 62918-1245 |
Street Address |
108 N DIVISION ST |
City | CARTERVILLE |
State | IL |
Zip | 62918-1245 |
Name | Specialty | Organization | Address |
---|---|---|---|
Babu Prasad | Interventional Pain Management | Pain Management Center Sc | 108 N Division St, Carterville, IL 62918-1245 |
Name | Specialty | Organization | Address |
---|---|---|---|
Melinda B Moore | Podiatry | 807 S Division St, Carterville, IL 62918-1528 | |
Matin Nekzad | Family Medicine | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
Christina Trapp | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
Sara Hoyle | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
Patricia A Boudet | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
Ethan Weshinskey | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
Gerald R Cameron | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
Kathryn M Mcmurphy | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
Cheryl A Ellis | Nurse Practitioner | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
James E Wachter | Family Practice | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
Find all physicians in zip 62918 |
City | CARTERVILLE |
Zip Code | 62918 |
Specialty | NURSE PRACTITIONER |
City + Specialty | CARTERVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Cassandra Marie Vestal.
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.