John D Mellinger, MD | |
747 N Rutledge St, 5th Floor, Springfield, IL 62702-6700 | |
(217) 545-5878 | |
(217) 545-0040 |
Full Name | John D Mellinger |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 747 N Rutledge St, Springfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275642233 | NPI | - | NPPES |
000962552A | Medicaid | GA | |
036124378 | Medicaid | IL | |
G51984 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036-124378 (Illinois) | Primary |
Entity Name | Siu Physicians & Surgeons Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
Mailing Address | Practice Location Address |
---|---|
John D Mellinger, MD Po Box 19638, Springfield, IL 62794-9638 Ph: (217) 545-5878 | John D Mellinger, MD 747 N Rutledge St, 5th Floor, Springfield, IL 62702-6700 Ph: (217) 545-5878 |
Dr. Emily Catherine Sturm, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 315 W Carpenter St Fl 2, Springfield, IL 62702 Phone: 217-545-8000 | |
Mark Kuhnke, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 900 N 1st Street, Springfield, IL 62702 Phone: 217-528-7541 Fax: 217-528-7543 | |
Teah Qvavadze, MD Surgery Medicare: Medicare Enrolled Practice Location: 747 N Rutledge St Fl 4, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-1622 | |
Dr. Krista Michelle Bonney, MD Surgery Medicare: Medicare Enrolled Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000 | |
Dr. Emmanuel Ifeanyichukwu Ohaa, MBCHB, MPH Surgery Medicare: Medicare Enrolled Practice Location: 701 N 1st St Ste D308, Springfield, IL 62702 Phone: 217-545-4401 Fax: 217-545-1793 | |
Dr. Melanie Lynne Barnard, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St Ste D308, Springfield, IL 62702 Phone: 217-545-4401 Fax: 217-545-2586 | |
Dr. Fillip Komornik, MD Surgery Medicare: Medicare Enrolled Practice Location: 701 N 1st St # D346, Springfield, IL 62702 Phone: 217-545-8444 |