Clark Olavi Andelin, MD | |
927 Broadway St, Quincy, IL 62301-2719 | |
(217) 223-8400 | |
(217) 223-9172 |
Full Name | Clark Olavi Andelin |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 17 Years |
Location | 927 Broadway St, Quincy, 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 |
---|---|---|---|
1013114453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 2007019019 (Missouri) | Secondary |
207V00000X | Obstetrics & Gynecology | 036148618 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Blessing Hospital | Quincy, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blessing Hospital | 3072422534 | 349 |
Entity Name | Blessing Corporate Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720186265 PECOS PAC ID: 5991616138 Enrollment ID: O20040116000382 |
Entity Name | Blessing Corporate Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851311641 PECOS PAC ID: 5991616138 Enrollment ID: O20050222000479 |
Entity Name | Blessing Hospital |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20161005001836 |
Mailing Address | Practice Location Address |
---|---|
Clark Olavi Andelin, MD 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-8400 | Clark Olavi Andelin, MD 927 Broadway St, Quincy, IL 62301-2719 Ph: (217) 223-8400 |
Gina L. Dietrich, D.O. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 927 Broadway St, Suite 220, Quincy, IL 62301 Phone: 217-224-6423 Fax: 217-223-9172 | |
Ada A. Kagumba, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1118 Hampshire St, Quincy, IL 62301 Phone: 217-222-6550 | |
Katy Marie Wand, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1118 Hampshire St, Quincy, IL 62301 Phone: 217-222-6550 | |
Peter M. Dureska, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Louis E. Degreeff, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 927 Broadway St, Suite 220, Quincy, IL 62301 Phone: 217-224-6423 Fax: 217-223-9172 | |
Jessica Whitney Curry, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-224-6423 Fax: 217-223-9142 |