Gina L Dietrich, DO | |
927 Broadway St, Suite 220, Quincy, IL 62301-2719 | |
(217) 224-6423 | |
(217) 223-9172 |
Full Name | Gina L Dietrich |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 27 Years |
Location | 927 Broadway St, Quincy, Illinois |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184648974 | NPI | - | NPPES |
036106243 | Medicaid | IL | |
077595 | Other | IL | HEALTH ALLIANCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 2017011099 (Missouri) | Secondary |
207V00000X | Obstetrics & Gynecology | 036106243 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Blessing Hospital | Quincy, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blessing Hospital | 3072422534 | 349 |
Blessing Hospital | 3072422534 | 349 |
Entity Name | Blessing Corporate Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851311641 PECOS PAC ID: 5991616138 Enrollment ID: O20050222000479 |
Entity Name | Family Planning Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659427797 PECOS PAC ID: 8820236748 Enrollment ID: O20130604000476 |
Entity Name | Blessing Hospital |
---|---|
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 |
---|---|
Gina L Dietrich, DO 927 Broadway St, Suite 220, Quincy, IL 62301-2719 Ph: (217) 224-6423 | Gina L Dietrich, DO 927 Broadway St, Suite 220, Quincy, IL 62301-2719 Ph: (217) 224-6423 |
Clark Olavi Andelin, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-9172 | |
Ada A. Kagumba, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1118 Hampshire St, Quincy, IL 62301 Phone: 217-222-6550 | |
Katy Marie Wand, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1118 Hampshire St, Quincy, IL 62301 Phone: 217-222-6550 | |
Peter M. Dureska, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Louis E. Degreeff, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 927 Broadway St, Suite 220, Quincy, IL 62301 Phone: 217-224-6423 Fax: 217-223-9172 | |
Jessica Whitney Curry, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-224-6423 Fax: 217-223-9142 |