Dr David Brian Sandercock, MD | |
3132 Old Jacksonville Rd, Suite 200, Springfield, IL 62704-7400 | |
(217) 862-0804 | |
(217) 862-0871 |
Full Name | Dr David Brian Sandercock |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 28 Years |
Location | 3132 Old Jacksonville Rd, Springfield, 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 |
---|---|---|---|
1770556565 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Illinois) | Primary |
208000000X | Pediatrics | (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advanced Healthcare Services, Llc | Springfield, IL | Home health agency |
Memorial Medical Center | Springfield, IL | Hospital |
St Johns Hospital | Springfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Physician Services | 9032005681 | 165 |
Entity Name | Memorial Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417922964 PECOS PAC ID: 9032005681 Enrollment ID: O20040223000454 |
Mailing Address | Practice Location Address |
---|---|
Dr David Brian Sandercock, MD 3132 Old Jacksonville Rd, Suite 200, Springfield, IL 62704-7400 Ph: (217) 862-0804 | Dr David Brian Sandercock, MD 3132 Old Jacksonville Rd, Suite 200, Springfield, IL 62704-7400 Ph: (217) 862-0804 |
Stephanie E. Wojtowicz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424 | |
Claudine Gillison, Pediatrics Medicare: Medicare Enrolled Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-528-7541 | |
Gopinathan Gangadharan Nambiar, Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 Old Jacksonville Rd, Springfield, IL 62704 Phone: 217-698-9722 Fax: 217-391-0392 | |
Dr. Susan M. Soler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424 | |
Dr. Kimberly Nichole Powell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 415 N 9th St, Suite 4w16, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-757-6654 | |
Misty M. Phillips, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-528-7541 | |
Tracy P Milbrandt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 301 N 8th St, Springfield, IL 62701 Phone: 217-545-4238 Fax: 217-545-2303 |