Emily D Hanson, DO
Individual provider Active NPI Family Medicine Physician · Murphysboro, IL
NPI 1023083748 · NPPES record last updated Nov 3, 2020
Key facts
- NPI
- 1023083748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036107935 (IL)
- Practice address
- 19 E Shawnee Dr Ste 2
Murphysboro, IL 62966-7072 - Phone
- (618) 684-2172
- Fax
- (618) 687-4480
- NPI assigned
- Feb 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Arts Clinic LTD
Southern Illinois Medical Services NFP
Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
19 E Shawnee Dr
Murphysboro, IL 62966-7071
19 E Shawnee Dr
Murphysboro, IL 62966-7072
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156
2421 W Main St
Suite a
Carbondale, IL 62901-1039
Phone (618) 529-3201
2601 W Main St
Carbondale, IL 62901-1031
Phone (618) 549-5361
405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721
Hospital & facility affiliations
- LHC-Illinois Home Health Care
- Residential Home Health of Southern Illinois, LLC
- Hospice of Southern Illinois, Inc
- St Joseph Memorial Hospital
- Memorial Hospital of Carbondale
- Herrin Hospital
- Marshall Browning Hospital
- Heartland Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 55.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.01
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100210000431 | IL | Practitioner - Family Practice | 2668515834 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Illinois Medical Services, NFP | Current |
Accepting new patients |
Locations
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
19 E Shawnee Dr
Ste 2
Murphysboro, IL 62966
Phone 6184575200 ext. 67008
Interoperability endpoints
- ehanson13990@sih.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036107935 | IL | Yes |
Addresses
Primary practice location
19 E Shawnee Dr Ste 2
Murphysboro, IL 62966-7072
Mailing address
PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 457-5200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7210895 | Other | IL | AETNA |
| 036107935 | Medicaid | IL | |
| 3932056 | Other | IL | BCBS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ehanson13990@sih.direct-ci.com |
Other providers in Murphysboro, IL
- Regina Gibson
- John T. Girardi
- Mohammed Guba
- Mary Elizabeth Hall
- Kenya Antoinette Hamilton
- Laurel Jane Harris
- Health Centers of Southern Illinois SC.
- Heartland Chiropractic PLLC
- Gerd Ingeborg Hedman
- Stephen Reese Holley
All providers in Murphysboro, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.