Christine Petzing, MD | |
3375 N Seminary St, Galesburg, IL 61401-1251 | |
(309) 343-5114 | |
(309) 343-7859 |
Full Name | Christine Petzing |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 3375 N Seminary St, Galesburg, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346348265 | NPI | - | NPPES |
036105731 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036-105731 (Illinois) | Primary |
Entity Name | Outer Banks Professional Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
Mailing Address | Practice Location Address |
---|---|
Christine Petzing, MD 3375 N Seminary St, Galesburg, IL 61401-1251 Ph: (309) 343-5114 | Christine Petzing, MD 3375 N Seminary St, Galesburg, IL 61401-1251 Ph: (309) 343-5114 |
Robert Ayers, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 | |
Robert Currie, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 834 N Seminary St, 201, Galesburg, IL 61401 Phone: 309-343-7130 | |
Mrs. Harsha Shrikant Mehta, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 575 N Kellogg St, Suite 2, Galesburg, IL 61401 Phone: 309-343-0160 Fax: 309-343-4137 | |
Robert Hickerson, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3375 N Seminary St, Galesburg, IL 61401 Phone: 309-343-5114 Fax: 309-343-7859 | |
Dr. Julio A Santiago, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 256 S Soangetaha Rd, Galesburg, IL 61401 Phone: 309-233-2836 Fax: 888-464-1233 | |
James Nesselroad, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3375 N Seminary St, Galesburg, IL 61401 Phone: 309-343-5114 Fax: 309-343-7859 | |
Keith Peachey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 834 N Seminary St, 201, Galesburg, IL 61401 Phone: 309-343-7135 |