Dr David Charles Weglicki Ii, DO | |
3050 Montvale Dr Ste A, Springfield, IL 62704-6924 | |
(217) 726-8096 | |
Not Available |
Full Name | Dr David Charles Weglicki Ii |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 11 Years |
Location | 3050 Montvale Dr Ste A, 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 |
---|---|---|---|
1932364627 | NPI | - | NPPES |
200015270 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 2014024069 (Missouri) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 036135543 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Methodist Hospital | Columbus, OH | Hospital |
Metro Health Hospital | Wyoming, MI | Hospital |
Marion General Hospital | Marion, OH | Hospital |
Dublin Methodist Hospital | Dublin, OH | Hospital |
Ohiohealth Mansfield Hospital | Mansfield, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Metropolitan Hospital | 5597651836 | 360 |
Riverside Radiology And Interventional Associates Inc | 8729976964 | 198 |
Entity Name | Metropolitan Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811937519 PECOS PAC ID: 5597651836 Enrollment ID: O20040507000012 |
Entity Name | Riverside Radiology And Interventional Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093718496 PECOS PAC ID: 8729976964 Enrollment ID: O20180411002073 |
Entity Name | Clinical Radiologists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063469252 PECOS PAC ID: 3476540873 Enrollment ID: O20210126001442 |
Mailing Address | Practice Location Address |
---|---|
Dr David Charles Weglicki Ii, DO 2040 W Iles Ave Ste C, Springfield, IL 62704-4183 Ph: (217) 789-0668 | Dr David Charles Weglicki Ii, DO 3050 Montvale Dr Ste A, Springfield, IL 62704-6924 Ph: (217) 726-8096 |
Dr. Christopher John Norbet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 | |
Sandra Scroggins, MD Radiology Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-814-5178 Fax: 217-757-6458 | |
Dr. Terence Edward Wade, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 | |
Benjamin Walker Fischer-valuck, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St., Springfield, IL 62781 Phone: 217-528-7541 | |
Kevin Coakley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 | |
Ronald Hidalgo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr, Ste A, Springfield, IL 62704 Phone: 720-848-0000 Fax: 720-848-0000 | |
Dr. Benjamin Daniel Long, MD Radiology Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 |