Eydie Gass, - Licensed Practical Nurse in Centralia, IL

Eydie Gass, is a Licensed Practical Nurse based in Centralia, Illinois. Eydie Gass is licensed to practice in Illinois (license number 043.088069) and her current practice location is 904 M L King Dr, Centralia, Illinois. She can be reached at her office (for appointments etc.) via phone at (618) 533-1391.

NPI number for Eydie Gass is 1699409060 and her current mailing address is 904 M L King Dr, Centralia, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699409060.

Contact Information

Eydie Gass,
904 M L King Dr,
Centralia, IL 62801-3058
(618) 533-1391
Not Available



Provider's Profile

Full NameEydie Gass
GenderFemale
SpecialityLicensed Practical Nurse
Location904 M L King Dr, Centralia, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1699409060
  • Provider Enumeration Date: 07/12/2022
  • Last Update Date: 07/12/2022

Medical Identifiers

Medical identifiers for Eydie Gass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699409060NPI-NPPES
370915481007MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 043.088069 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eydie Gass is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eydie Gass,
904 M L King Dr,
Centralia, IL 62801-3058

Ph: (618) 533-1391
Eydie Gass,
904 M L King Dr,
Centralia, IL 62801-3058

Ph: (618) 533-1391

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Licensed Practical Nurse Nurses in Centralia, IL

Czareenah Dela Cruz Apostol,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 904 E Martin Luther King Dr, Centralia, IL 62801
Phone: 618-533-1391    Fax: 618-533-0012
Beth Angle,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 904 E. Martin Luther King Drive, Centralia, IL 62801
Phone: 618-533-1391    Fax: 618-533-0012

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