Debra M Phillips, MD | |
612 N 11th St, Quincy, IL 62301-2662 | |
(217) 224-9484 | |
(217) 224-7950 |
Full Name | Debra M Phillips |
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Gender | Female |
Speciality | Family Medicine |
Location | 612 N 11th St, Quincy, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467439075 | NPI | - | NPPES |
036062637 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036-062637 (Illinois) | Primary |
Entity Name | Siu Physicians & Surgeons Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
Entity Name | Board Of Trustees Of Southern Illinois University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019 |
Mailing Address | Practice Location Address |
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Debra M Phillips, MD 612 N 11th St, Quincy, IL 62301-2662 Ph: (217) 224-9484 | Debra M Phillips, MD 612 N 11th St, Quincy, IL 62301-2662 Ph: (217) 224-9484 |
Pichapa Sangsawad, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 612 N 11th St, Quincy, IL 62301 Phone: 217-224-9484 | |
Jonathan Wilford, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 927 Broadway St, Suite 121, Quincy, IL 62301 Phone: 217-224-6423 Fax: 217-277-5960 | |
Taylor J. Moore, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Dana B Altman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Jason Chak Sham Hui, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 612 N 11th St, Quincy, IL 62301 Phone: 217-224-9484 Fax: 217-224-7950 | |
Timothy W. Jacobs, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Laica Mae Basingan Arcibal, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 612 N 11th St, Quincy, IL 62301 Phone: 217-224-9484 Fax: 217-224-7950 |