John Fredrick Kreckman, MD | |
520 N 4th St, Springfield, IL 62702-5238 | |
(217) 545-8000 | |
(217) 747-1351 |
Full Name | John Fredrick Kreckman |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 520 N 4th 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 |
---|---|---|---|
1124126909 | NPI | - | NPPES |
036097394 | Other | IL | CONTROLLED SUB. LICENSE |
IL2613 | Other | MEDICARE GROUP # | |
036097934 | Other | IL | LICENSE |
036097934 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036097934 (Illinois) | Primary |
Entity Name | Shemauger Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992957021 PECOS PAC ID: 5890859144 Enrollment ID: O20090130000471 |
Mailing Address | Practice Location Address |
---|---|
John Fredrick Kreckman, MD Po Box 19670, Springfield, IL 62794-9670 Ph: (217) 545-8000 | John Fredrick Kreckman, MD 520 N 4th St, Springfield, IL 62702-5238 Ph: (217) 545-8000 |
Dr. Kaitlin Delaney Henry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541 | |
Mark T. Mckay, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541 | |
Dr. Jennifer E. Richards, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Centre West Dr, Springfield, IL 62704 Phone: 217-793-9960 | |
Mrs. Lacey Dively Moy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3220 Atlanta St, Springfield, IL 62707 Phone: 217-588-7400 Fax: 217-588-7439 | |
Dr. Hari Iyengar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 520 N 4th St, Springfield, IL 62702 Phone: 217-757-8100 | |
Dr. Jamie Wallman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 319 E Madison St Ste 1f, Springfield, IL 62701 Phone: 217-545-8000 | |
Janet R Albers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 N 4th St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-757-8161 |