MEDICARE: GERALD R CAMERON PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	085001260	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	CF3444	OTHER	IL	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	085001260	OTHER	IL	STATE LICENSE NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	132566	OTHER	IL	HEALTH ALLIANCE
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134235955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERALD R CAMERON PA-C

Provider Business Mailing Address
First Line	:	109 CALIFORNIA ST
Second Line	:
City	:	CARTERVILLE
State	:	IL
Zip	:	62918-1923
Country	:	US
Telephone Number	:	618-985-8221
Fax Number	:

Provider Business Practice Location Address
First Line	:	404 S LEWIS LN
Second Line	:
City	:	CARBONDALE
State	:	IL
Zip	:	62901-3547
Country	:	US
Telephone Number	:	618-519-9200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	03/17/2018

Similar Medicare Providers

1245953967 — SAMANTHA HERRIN PA-C
Practice Location Address:

404 S LEWIS LN
CARBONDALE, IL
62901-3547

Practice Phone: 618-519-9200
Practice Fax: 618-549-1288

1841237120 — PATRICIA A BOUDET PA
Practice Location Address:

404 S LEWIS LN
CARBONDALE, IL
62901-3547

Practice Phone: 618-519-9200
Practice Fax:

1801952775 — MS. MARY C LYONS PA
Practice Location Address:

400 S LEWIS LN
CARBONDALE, IL
62901-3547

Practice Phone: 618-519-9901
Practice Fax: 519-529-1384

1659423184 — DEBRA RENEE QUEEN R.D.
Practice Location Address:

400 S LEWIS LN
CARBONDALE, IL
62901-3547

Practice Phone: 618-519-9200
Practice Fax: 618-519-9961

1982801742 — DR. ANNA MARIE LITTLE MD
Practice Location Address:

400 S LEWIS LN
CARBONDALE, IL
62901-3547

Practice Phone: 618-519-9900
Practice Fax:

1659559169 — BARBARA GEAN GREAR MSW
Practice Location Address:

404 S LEWIS LN
CARBONDALE, IL
62901-3547

Practice Phone: 618-519-9200
Practice Fax:

Directions to “ GERALD R CAMERON PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.