Deandra Bockhold (NPI# 1003219593, PAC ID# 9739435835) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1003219593 |
| PAC ID by PECOS | 9739435835 |
| Professional Enrollment ID | I20180703000860 |
| Full Name | Deandra Bockhold |
| Organization Legal Name | BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY |
| Address |
612 N 11th St Quincy IL 62301-2662 |
| Phone Number | 2172249484 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 4486667888 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 612 N 11th St, Quincy, IL 62301-2662 | 2172249484 | BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY |
| Organization Legal Name | BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Helen L Moose | Certified Nurse Midwife (cnm) | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Janet Regine Albers | Family Medicine | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Arindam Chakrabarty | Psychiatry | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Paul Anthony Hibbert | Family Medicine | Board of Trustees of Southern Illinois University | 612 N 11th St, Quincy, IL 62301-2662 |
| Airn A Etherton | Nurse Practitioner | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Johnny C Tenegra | Family Medicine | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Amit Sapra | Family Medicine | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Rebecca Sharpe-whitaker | Nurse Practitioner | Board of Trustees of Southern Illinois University | 612 N 11th St, Quincy, IL 62301-2662 |
| Jessie A Junker | Family Medicine | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Dae Hyoun Jeong | Family Medicine | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Street Address |
612 N 11TH ST |
| City | QUINCY |
| State | IL |
| Zip | 62301-2662 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Anthony Hibbert | Family Medicine | Board of Trustees of Southern Illinois University | 612 N 11th St, Quincy, IL 62301-2662 |
| Rebecca Sharpe-whitaker | Nurse Practitioner | Board of Trustees of Southern Illinois University | 612 N 11th St, Quincy, IL 62301-2662 |
| Mary Kay Schlegl | Nurse Practitioner | Board of Trustees of Southern Illinois University | 612 N 11th St, Quincy, IL 62301-2662 |
| Christie Nicole Stewart | Physician Assistant | Board of Trustees of Southern Illinois University | 612 N 11th St, Quincy, IL 62301-2662 |
| Theresa Helen Oakley | Physician Assistant | Board of Trustees of Southern Illinois University | 612 N 11th St, Quincy, IL 62301-2662 |
| Shawn A Holcomb | Family Medicine | Board of Trustees of Southern Illinois University | 612 N 11th St, Quincy, IL 62301-2662 |
| Cesar Sobremonte Arguelles | Family Medicine | Board of Trustees of Southern Illinois University | 612 N 11th St, Quincy, IL 62301-2662 |
| Michael E Connolly | Family Medicine | Board of Trustees of Southern Illinois University | 612 N 11th St, Quincy, IL 62301-2662 |
| Timothy Titus Ott | Family Medicine | Board of Trustees of Southern Illinois University | 612 N 11th St, Quincy, IL 62301-2662 |
| Stacy S Melton | Clinical Social Worker | Board of Trustees of Southern Illinois University | 612 N 11th St, Quincy, IL 62301-2662 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi E Ludwig | Nurse Practitioner | Illinois Veterans Home At Quincy | 1707 N 12th St, 29m, Quincy, IL 62301-1355 |
| Amanda Hubner | Nurse Practitioner | Illinois Veterans Home At Quincy | 1707 N 12th St, 29m, Quincy, IL 62301-1355 |
| Breanna Marie Schmitt | Chiropractic | Kirk G Gribler Dc Inc | 1806 Chestnut St, Quincy, IL 62301-2120 |
| Kirk G Gribler | Chiropractic | Kirk G Gribler Dc Inc | 1806 Chestnut St, Quincy, IL 62301-2120 |
| Diana J Franklin | Chiropractic | Franklin Total Wellness Center, LLC | 1201 N 24th St, Quincy, IL 62301-2232 |
| Brandon Anthony Bruening | Chiropractic | 1210 N 24th St, Quincy, IL 62301-2233 | |
| Taofik Nasrat | Neurology | Blessing Corporate Services | 1107 College Ave, Suite 1, Quincy, IL 62301-2600 |
| John R S Deguzman | Physical Medicine and Rehabilitation | Blessing Corporate Services | 1107 College Ave, Suite 1, Quincy, IL 62301-2600 |
| Duane Anthony Hanzel | Podiatry | Blessing Corporate Services | 1107 College Ave, Suite 1, Quincy, IL 62301-2600 |
| Joseph Lane | Family Medicine | Blessing Corporate Services | 1107 College Ave, Suite 1, Quincy, IL 62301-2600 |
| Find all physicians in zip 62301 | |||
| City | QUINCY |
| Zip Code | 62301 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | QUINCY + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Deandra Bockhold.
| 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.