Charles A Lane, MD | |
6810 State Route 162 Ste 100, Maryville, IL 62062-8560 | |
(618) 288-5711 | |
(618) 288-3647 |
Full Name | Charles A Lane |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 40 Years |
Location | 6810 State Route 162 Ste 100, Maryville, 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 |
---|---|---|---|
1164581468 | NPI | - | NPPES |
353524701001 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036083769 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Anderson Hospital | Maryville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anderson Medical Group Llc | 5193792018 | 122 |
Entity Name | Anderson Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700807716 PECOS PAC ID: 5193792018 Enrollment ID: O20040910001137 |
Mailing Address | Practice Location Address |
---|---|
Charles A Lane, MD 6810 State Route 162 Ste 100, Maryville, IL 62062-8560 Ph: (618) 288-3616 | Charles A Lane, MD 6810 State Route 162 Ste 100, Maryville, IL 62062-8560 Ph: (618) 288-5711 |
Dr. Richard Henry Wikiera, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162 Ste 100, Maryville, IL 62062 Phone: 618-288-3616 Fax: 618-288-3647 | |
Dr. Morris A Kugler, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2227 Vadalabene Dr, Ste 300, Maryville, IL 62062 Phone: 618-288-7485 Fax: 618-288-9086 | |
Scott Wong, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162 Ste 100, Maryville, IL 62062 Phone: 618-288-3616 Fax: 618-288-3647 | |
Dr. Pei Chang Chung, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162 Ste 100, Maryville, IL 62062 Phone: 618-288-3616 Fax: 618-288-3647 | |
Dr. Daniel Steven Johnson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162 Ste 100, Maryville, IL 62062 Phone: 618-288-3616 Fax: 618-288-3647 | |
Patricia Teschke, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2227 Vadalabene Dr Ste 300, Maryville, IL 62062 Phone: 618-391-5320 Fax: 618-391-5321 |