Angela S Birdsell (NPI# 1306350780, PAC ID# 9739443375) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1306350780 |
| PAC ID by PECOS | 9739443375 |
| Professional Enrollment ID | I20180507000698 |
| Full Name | Angela S Birdsell |
| Organization Legal Name | MILLENNIUM PAIN CENTER LLC |
| Address |
1015 S Mercer Ave Bloomington IL 61701-7107 |
| Phone Number | 3096624321 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486543691 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140135 | DECATUR MEMORIAL HOSPITAL |
| 140166 | ST MARYS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1015 S Mercer Ave, Bloomington, IL 61701-7107 | 3096624321 | MILLENNIUM PAIN CENTER LLC |
| 2406 E Empire St, Bloomington, IL 61704-3630 | 3096624321 | MILLENNIUM PAIN CENTER LLC |
| 304 W Hay St, Suite 213, Decatur, IL 62526-4169 | 2178766640 | MILLENNIUM PAIN CENTER LLC |
| Organization Legal Name | MILLENNIUM PAIN CENTER LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francesco Vetri | Anesthesiology | Millennium Pain Center LLC | 301 W Hay, Decatur, IL 62526-4162 |
| Kimberly Kristine Lopez | Nurse Practitioner | Millennium Pain Center LLC | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Avni Gupta | Anesthesiology | Millennium Pain Center LLC | 900 Main St, 780 Methodist Comprehensive Pain and Spine Center, Peoria, IL 61602-1067 |
| Ramsin M Benyamin | Interventional Pain Management | Millennium Pain Center LLC | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Atiq Rehman | Interventional Pain Management | Millennium Pain Center LLC | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Ricardo Vallejo | Pain Management | Millennium Pain Center LLC | 101 S Major St, Eureka, IL 61530-1246 |
| Leonard Jenkins | Certified Registered Nurse Anesthetist (crna) | Millennium Pain Center LLC | 1015 S Mercer Ave, Bloomington, IL 61701-7107 |
| Meliha Malagic | Nurse Practitioner | Millennium Pain Center LLC | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Tracy Lynn Schierer | Nurse Practitioner | Millennium Pain Center LLC | 1015 S Mercer Ave, Bloomington, IL 61701-7107 |
| Eric Jeffries | Nurse Practitioner | Millennium Pain Center LLC | 1880 W Winchester Rd, Suite 101, Libertyville, IL 60048-5321 |
| Street Address |
1015 S MERCER AVE |
| City | BLOOMINGTON |
| State | IL |
| Zip | 61701-7107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles L Rosen | Neurosurgery | Central Illinois Neuro Health Sciences, Ltd.. | 1015 S Mercer Ave, Suite 1, Bloomington, IL 61701-7107 |
| Seth Hatlelid | Psychologist, Clinical | Psychology Specialists Ltd | 1015 S Mercer Ave, Millenium Pain Center, Bloomington, IL 61701-7107 |
| Ann R Stroink | Neurosurgery | Central Illinois Neuro Health Sciences, Ltd.. | 1015 S Mercer Ave, Suite 1, Bloomington, IL 61701-7107 |
| Ji Li | Pain Management | 1015 S Mercer Ave, Bloomington, IL 61701-7107 | |
| Timothy W Highland | Physical Therapy | Central Illinois Neuro Health Sciences, Ltd.. | 1015 S Mercer Ave, Suite 1, Bloomington, IL 61701-7107 |
| Won H Jhee | Physical Medicine and Rehabilitation | 1015 S Mercer Ave, Suite G 1, Bloomington, IL 61701-7107 | |
| Leonard Jenkins | Certified Registered Nurse Anesthetist (crna) | Millennium Pain Center LLC | 1015 S Mercer Ave, Bloomington, IL 61701-7107 |
| Jason M Seibly | Neurosurgery | Central Illinois Neuro Health Sciences, Ltd.. | 1015 S Mercer Ave, Suite 1, Bloomington, IL 61701-7107 |
| Tracy Lynn Schierer | Nurse Practitioner | Millennium Pain Center LLC | 1015 S Mercer Ave, Bloomington, IL 61701-7107 |
| Lawrence Wayne Davis | Certified Registered Nurse Anesthetist | Millennium Pain Center LLC | 1015 S Mercer Ave, Bloomington, IL 61701-7107 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony J Buecker | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
| Ryan E Newberger | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
| Kayla S Olesky | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
| Alex R Yuan | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
| Tracy Pacini | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Dean Ryan Mccullough | Clinical Social Worker | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| James W Tarasuik Jr. | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Jenia Rochelle Heavens | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Paula C Miller | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Nancy G Duffy | Clinical Social Worker | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Find all physicians in zip 61701 | |||
| City | BLOOMINGTON |
| Zip Code | 61701 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BLOOMINGTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Angela S Birdsell.
| 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.