Maria Galanos, | |
103 N Oak St, O Fallon, IL 62269-1165 | |
(618) 624-3368 | |
Not Available |
Full Name | Maria Galanos |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 103 N Oak St, O Fallon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073609814 | NPI | - | NPPES |
036106666 | Other | IL | BLUE SHIELD |
036106666-4 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036-106666 (Illinois) | Primary |
Entity Name | St Marys Hospital Centralia Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
Entity Name | Midwest Emergency Centralia Campus Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396034245 PECOS PAC ID: 2163672650 Enrollment ID: O20121018000074 |
Mailing Address | Practice Location Address |
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Maria Galanos, 103 N Oak St, O Fallon, IL 62269-1165 Ph: () - | Maria Galanos, 103 N Oak St, O Fallon, IL 62269-1165 Ph: (618) 624-3368 |
Dr. Arthur Sippo, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 103 N Oak St, O Fallon, IL 62269 Phone: 618-624-3368 Fax: 618-624-3387 | |
Vicky Hwang, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 E Highway 50, O Fallon, IL 62269 Phone: 618-624-3368 | |
Scott R. Roustio, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8422 Braeswood Estates Dr, O Fallon, IL 62269 Phone: 618-624-0091 | |
Dr. Faron Fox, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 103 N Oak St, O Fallon, IL 62269 Phone: 618-624-3368 Fax: 618-624-3387 | |
Brian Litland, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 N Oak St, O Fallon, IL 62269 Phone: 618-624-3368 | |
Dr. Dale E Long, D.O Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 103 N Oak St, O Fallon, IL 62269 Phone: 618-624-3368 Fax: 618-624-3387 |