Military Health Care Provider Independent Duty Medical Technicians Health Providers - ILLINOIS
1710I1003X - Military Health Care Provider Independent Duty Medical Technicians
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
List of 19 registered providers with a business address in Illinois whose primary or secondary health provider taxonomy code is Military Health Care Provider Independent Duty Medical Technicians, all registered as individuals.
List of Providers
Provider Name | Type | Address | Medicare | PECOS | |
---|---|---|---|---|---|
MARK WINTHROP BATTLE | Individual | 2318 ROCKWOOD DR BELLEVILLE, IL 62221 (618) 334-0624 | Non-Participating Provider | NO | |
RYAN TAYLOR BLALOCK | Individual | 310 W LOSEY ST SCOTT AFB, IL 62225 (618) 256-9355 | Non-Participating Provider | NO | |
DEREK COWEN | Individual | 505 RIMKUS DRIVE SCOTT AIR FORCE BASE, IL 62225 (940) 636-2753 | Non-Participating Provider | NO | |
RYAN MICHAEL DAVIS | Individual | 310 W LOSEY ST SCOTT AFB, IL 62225 (618) 256-7804 | Non-Participating Provider | NO | |
RAYMOND J FLAIZ | Individual | 312 W. LOSEY STR 375 MDG/SGOPG SCOTT AFB, IL 62225 (618) 256-7230 | Non-Participating Provider | NO | |
CRYSTAL JUNE GARCIA | Individual | 310 W LOSEY ST SCOTT AFB, IL 62225 (618) 256-7018 | Non-Participating Provider | NO | |
MELISSA DAWN GOFF | Individual | 310 WEST. LOSEY STREET SCOTT AFB, IL 62225 (618) 256-7311 | Non-Participating Provider | NO | |
SETH HEYING | Individual | 310 W LOSEY ST SCOTT AFB, IL 62225 (618) 256-5203 | Non-Participating Provider | NO | |
PATRICK CHRISTOPHER KORTHUIS | Individual | 2400 EAST DR BLDG 3650 RM 135 SCOTT AFB, IL 62225 (618) 229-7221 | Non-Participating Provider | NO | |
VALERIE VERONICA LEE | Individual | 210 N POINT RD FAIRVIEW HEIGHTS, IL 62208 (575) 770-2939 | Non-Participating Provider | NO | |
ZACHARY H MCKENTY | Individual | 300 W OAK ST CARBONDALE, IL 62901 (618) 453-8850 | Accepts Medicare | YES | |
CLYDE NOBLES | Individual | 375 MDG SCOTT AFB, IL 62225 (618) 256-7551 | Non-Participating Provider | NO | |
D'MARIO REVERE | Individual | 4465 GEORGE WASHINGTON DR SCOTT AFB, IL 62225 (678) 551-5369 | Non-Participating Provider | NO | |
ZACHARY B REYNOLDS | Individual | 4691 PETTY CT SCOTT AFB, IL 62225 (270) 906-3511 | Non-Participating Provider | NO | |
COLLIN SCHROEDER | Individual | 310 W LOSEY ST SCOTT AFB, IL 62225 (618) 256-7311 | Non-Participating Provider | NO | |
JUSTIN STINSON | Individual | 7526 S CLYDE AVE CHICAGO, IL 60649 (808) 321-1391 | Non-Participating Provider | NO | |
COLE MELSA TOMIN | Individual | 310 W LOSEY ST SCOTT AFB, IL 62225 (618) 256-9355 | Non-Participating Provider | NO | |
TIMOTHY BLAKE WILDER | Individual | 310 W LOSEY ST SCOTT AFB, IL 62225 (618) 256-8970 | Non-Participating Provider | NO | |
ANDREW ZAVALA | Individual | 310 W LOSEY ST 375TH MDG/SGOPG SCOTT AFB, IL 62225 (618) 256-7129 | Non-Participating Provider | NO |
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