Physical Medicine Clinic Of Granite City Ltd is a
Nurse Practitioner - Adult Health based in Granite City, Illinois. Physical Medicine Clinic Of Granite City Ltd is licensed to practice in Illinois (license number 209007631) and their current practice location is
2861 Madison Ave, Granite City, Illinois. It can be reached at their office (for appointments etc.) via phone at
(618) 877-4000.
NPI number for Physical Medicine Clinic Of Granite City Ltd is 1992039747 and their current mailing address is 2861 Madison Ave, Granite City, Illinois. Physical Medicine Clinic Of Granite City Ltd
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1992039747.
Healthcare Provider's Profile
Full Name | Physical Medicine Clinic Of Granite City Ltd |
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Type | Facility |
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Speciality | Nurse Practitioner - Adult Health |
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Location | 2861 Madison Ave, Granite City, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992039747
- Provider Enumeration Date: 09/28/2009
- Last Update Date: 10/15/2013
Medical Identifiers
Medical identifiers for Physical Medicine Clinic Of Granite City Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992039747 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 038009646 (Illinois) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 209007631 (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. Physical Medicine Clinic Of Granite City Ltd 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 Address | Practice Location Address |
Physical Medicine Clinic Of Granite City Ltd 2861 Madison Ave, Granite City, IL 62040-3614 Ph: (618) 877-4000 | Physical Medicine Clinic Of Granite City Ltd 2861 Madison Ave, Granite City, IL 62040-3614 Ph: (618) 877-4000 |
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