Residential Hospice of Southern Illinois, LLC

PAC ID

3678797966The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part A Provider - Hospice, Part B Supplier - Clinic/Group Practice

Enrolled in

IL

Enrollments

2

Group size

2 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

5In 2 places

Enrollment records 2

These NPI records belong to the same enrolled organization. Each has its own page.

• Residential Hospice of Southern Illinois, LLC

  dba Residential Palliative Care of Southern Illinois

  • Adult Health Nurse Practitioner
  • Glen Carbon, IL
  • NPI 1437610011
• Residential Hospice of Southern Illinois, LLC

  • Community Based Hospice Care Agency
  • Glen Carbon, IL
  • NPI 1720405301

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (2).

• Melissa Baker, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Troy, MI
  • NPI 1003369307
• Lindsay Michelle Franks, FNP

  • Family Nurse Practitioner
  • Lake Havasu City, AZ
  • NPI 1831815893
• Kirby L Klostermann, FNP

  • Nurse Practitioner
  • Glen Carbon, IL
  • NPI 1285829572
• Farah Siddique, NP-C

  • Family Nurse Practitioner
  • Schaumburg, IL
  • NPI 1417639501

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.