Dr Loretta A Baustian, DO | |
927 Broadway St, Ste 300, Quincy, IL 62301-2728 | |
(217) 224-6423 | |
(217) 223-9370 |
Full Name | Dr Loretta A Baustian |
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Gender | Female |
Speciality | Pediatrics |
Location | 927 Broadway 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 |
---|---|---|---|
1538153408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036-101329 (Illinois) | Primary |
Entity Name | Blessing Corporate Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851311641 PECOS PAC ID: 5991616138 Enrollment ID: O20050222000479 |
Entity Name | Blessing Hospital |
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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 |
---|---|
Dr Loretta A Baustian, DO 927 Broadway St., Suite 300, Quincy, IL 62301-2728 Ph: (217) 224-6423 | Dr Loretta A Baustian, DO 927 Broadway St, Ste 300, Quincy, IL 62301-2728 Ph: (217) 224-6423 |
Charone Tolbert, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-224-6423 Fax: 217-223-9370 | |
Dennis E. Go, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Liz Edith Contreras, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 | |
Richard F Schlepphorst, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Dr. Todd R Porter, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Dr. Lindsay M Brink, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 Fax: 217-277-2253 |