Mr Jeremy Paul Gerwe, MD | |
3412 Office Park Drive, Marion, IL 62959 | |
(618) 993-0404 | |
(618) 993-1717 |
Full Name | Mr Jeremy Paul Gerwe |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3412 Office Park Drive, Marion, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376683003 | NPI | - | NPPES |
200947990 | Medicaid | IN | |
7100080980 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 42607 (Kentucky) | Secondary |
208000000X | Pediatrics | 036128431 (Illinois) | Primary |
Entity Name | Christopher Greater Area Rural Health Planning Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073816542 PECOS PAC ID: 8224947387 Enrollment ID: O20040109000561 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeremy Paul Gerwe, MD 3412 Office Park Drive, Marion, IL 62959 Ph: (618) 993-0404 | Mr Jeremy Paul Gerwe, MD 3412 Office Park Drive, Marion, IL 62959 Ph: (618) 993-0404 |
Carline Mekem Mbeumo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3412 Office Park Drive, Marion, IL 62959 Phone: 618-993-0404 Fax: 618-993-1717 | |
Dr. Ronald Chediak, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 W Deyoung St, Ste 524, Marion, IL 62959 Phone: 618-993-1421 | |
Mrs. Bindu Reddy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 East Walnut, Suite 6, Marion, IL 62901 Phone: 618-993-0404 Fax: 618-993-1717 | |
Sadashivaiah Bhaskar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3412 Office Park Dr, Marion, IL 62959 Phone: 618-993-0404 Fax: 618-993-1717 | |
Mr. Pradeep Gopala Reddy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3412 Office Park Drive, Marion, IL 62959 Phone: 618-993-0404 Fax: 618-993-1717 |