Dr Russell Gene Boester, DMD | |
513 N Main St, Anna, IL 62906-1697 | |
(618) 833-4471 | |
Not Available |
Full Name | Dr Russell Gene Boester |
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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 |
---|---|---|---|
1982621686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019-022146 (Illinois) | Primary |
Entity Name | Rural Health, Inc. |
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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 |
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Dr Russell Gene Boester, DMD 513 N Main St, Anna, IL 62906-1697 Ph: (618) 833-4471 | Dr Russell Gene Boester, DMD 513 N Main St, Anna, IL 62906-1697 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 | |
Dr. Michael Peter Holub, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 513 N Main St, Anna, IL 62906 Phone: 618-833-4471 Fax: 618-833-6267 | |
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 |