Fred Richardson Jr, MD | |
904 Medical Park Dr, Suite 3, Effingham, IL 62401-2193 | |
(217) 540-2350 | |
(217) 347-2323 |
Full Name | Fred Richardson Jr |
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Gender | Male |
Speciality | Family Practice |
Experience | 37 Years |
Location | 904 Medical Park Dr, Effingham, 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 |
---|---|---|---|
1194702092 | NPI | - | NPPES |
036078174 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036078174 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Icare Home Health | Chicago, IL | Home health agency |
Rush Oak Park Hospital | Oak park, IL | Hospital |
Entity Name | Little Company Of Mary Affiliated Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033162086 PECOS PAC ID: 5193629202 Enrollment ID: O20040127000775 |
Mailing Address | Practice Location Address |
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Fred Richardson Jr, MD 904 Medical Park Dr, Suite 3, Effingham, IL 62401-2193 Ph: (217) 540-2350 | Fred Richardson Jr, MD 904 Medical Park Dr, Suite 3, Effingham, IL 62401-2193 Ph: (217) 540-2350 |
Katelyn Jule Klosterman, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1303 W Evergreen Ave Ste 202, Effingham, IL 62401 Phone: 217-238-4634 Fax: 217-342-3402 | |
Dominic Charles Imburgia, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 N Maple St, Effingham, IL 62401 Phone: 217-347-2900 Fax: 217-347-2922 | |
Jeffrey Brummer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1106 N Merchant St, Effingham, IL 62401 Phone: 217-342-7000 | |
Hope E Knauer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 N Maple St, Effingham, IL 62401 Phone: 217-342-4151 Fax: 217-347-8955 | |
Dr. Sean F. Flynn, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 N Maple St Ste E, Effingham, IL 62401 Phone: 217-347-7030 Fax: 217-347-7197 | |
Dr. Shantha Matthew Monippallil, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1901 S 4th St, Same, Effingham, IL 62401 Phone: 217-347-7600 |