Andrew Jon Heritch, MD | |
3116 N Dries Ln, #201, Peoria, IL 61604 | |
(309) 686-1147 | |
(309) 686-1185 |
Full Name | Andrew Jon Heritch |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 38 Years |
Location | 3116 N Dries Ln, Peoria, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407948607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 036-104460 (Illinois) | Primary |
Entity Name | Heartland Behavioral Health Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225120421 PECOS PAC ID: 9234163759 Enrollment ID: O20050923000815 |
Mailing Address | Practice Location Address |
---|---|
Andrew Jon Heritch, MD 3116 N Dries Ln, #201, Peoria, IL 61604 Ph: (309) 686-1147 | Andrew Jon Heritch, MD 3116 N Dries Ln, #201, Peoria, IL 61604 Ph: (309) 686-1147 |
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