Brandon Cycholl, | |
929 Stacey Burk Dr, Clay County Hospital Medical Clinic, Flora, IL 62839-3241 | |
(618) 662-2131 | |
(618) 662-3077 |
Full Name | Brandon Cycholl |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 24 Years |
Location | 929 Stacey Burk Dr, Flora, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144208349 | NPI | - | NPPES |
482023 | Other | HEALTHLINK | |
086757 | Other | HEALTH ALLIANCE | |
036107332 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036107332 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Clay Home Health Services | Flora, IL | Home health agency |
Clay County Hospital | Flora, IL | Hospital |
Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
County Of Clay | 0042101982 | 27 |
Entity Name | County Of Clay |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811946411 PECOS PAC ID: 0042101982 Enrollment ID: O20040322000969 |
Entity Name | County Of Clay |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1184655136 PECOS PAC ID: 0042101982 Enrollment ID: O20071220000378 |
Mailing Address | Practice Location Address |
---|---|
Brandon Cycholl, 929 Stacey Burk Dr, Clay County Hospital Medical Clinic, Flora, IL 62839-3241 Ph: (618) 662-2131 | Brandon Cycholl, 929 Stacey Burk Dr, Clay County Hospital Medical Clinic, Flora, IL 62839-3241 Ph: (618) 662-2131 |
Harry A Carter, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 929 Stacey Burk Dr, Flora, IL 62839 Phone: 618-662-2131 | |
Mrs. Karen Louise Mcallister, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1556 N State Rd, Flora, IL 62839 Phone: 618-599-1453 |