Dr Michael Peter Holub, DDS | |
513 N Main St, Anna, IL 62906-1668 | |
(618) 833-4471 | |
(618) 833-6267 |
Full Name | Dr Michael Peter Holub |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 513 N Main St, Anna, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134266620 | NPI | - | NPPES |
1002247 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019-022619 (Illinois) | Primary |
Entity Name | Rural Health, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982666384 PECOS PAC ID: 6800705427 Enrollment ID: O20040518000240 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Peter Holub, DDS 513 N Main St, Anna, IL 62906-1668 Ph: (618) 833-4471 | Dr Michael Peter Holub, DDS 513 N Main St, Anna, IL 62906-1668 Ph: (618) 833-4471 |
Dr. John Marshall Casper, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 205 N Main St, Anna, IL 62906 Phone: 618-833-2314 | |
Thomas J Larkin Iii, DMD Dentist Medicare: Medicare Enrolled Practice Location: 513 N Main St, Anna, IL 62906 Phone: 618-833-4471 Fax: 618-833-4900 | |
Richard Lamb, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1000 N Main St, Anna, IL 62906 Phone: 618-833-5161 Fax: 618-833-4191 | |
Dr. Alaa Alshair, BDS, CAGS, MSCD Dentist Medicare: Medicare Enrolled Practice Location: 513 N Main St, Anna, IL 62906 Phone: 618-833-4475 | |
Brittany Lynn Scanlon, DMD Dentist Medicare: Medicare Enrolled Practice Location: 513 N Main St, Anna, IL 62906 Phone: 618-833-4471 Fax: 618-833-4900 | |
Dr. Steven Wayne Vincent, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 131 West Vienna Street, Anna, IL 62906 Phone: 618-833-7773 Fax: 618-833-7773 |