Michelle P Mulligan, MD | |
3417 Anderson Healthcare Dr Ste 200, Edwardsville, IL 62025-7784 | |
(618) 288-8500 | |
(618) 288-8501 |
Full Name | Michelle P Mulligan |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 38 Years |
Location | 3417 Anderson Healthcare Dr Ste 200, Edwardsville, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194721936 | NPI | - | NPPES |
0107339 | Other | UNITED HEALTHCARE | |
080021120 | Other | IL | RR MEDICARE |
N8565 | Other | GROUP HEALTH PLAN | |
4622029 | Other | IL | ADMINISTAR |
036081019 | Medicaid | IL | |
180420 | Other | HEALTHLINK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036081019 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Anderson Hospital | Maryville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anderson Medical Group Llc | 5193792018 | 122 |
Entity Name | Anderson Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700807716 PECOS PAC ID: 5193792018 Enrollment ID: O20040910001137 |
Mailing Address | Practice Location Address |
---|---|
Michelle P Mulligan, MD 6810 State Route 162, Box 215, Maryville, IL 62062 Ph: (618) 391-6495 | Michelle P Mulligan, MD 3417 Anderson Healthcare Dr Ste 200, Edwardsville, IL 62025-7784 Ph: (618) 288-8500 |
Dr. Amy Colleen Mcclintock, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2122 Troy Rd Ste 130, Edwardsville, IL 62025 Phone: 618-463-7600 | |
Hannah M. Jordan, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1188 South State Route 157, Edwardsville, IL 62025 Phone: 865-384-3111 Fax: 618-692-5901 | |
Dr. Olusegun A Coker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2122 Troy Rd Ste 130, Edwardsville, IL 62025 Phone: 618-800-4500 | |
Gina Marie Vernace, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3417 Anderson Healthcare Dr Ste 200, Edwardsville, IL 62025 Phone: 618-288-8500 Fax: 618-288-8501 | |
Jacob Matsil, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3417 Anderson Healthcare Dr Ste 200, Edwardsville, IL 62025 Phone: 618-288-8500 Fax: 618-288-8501 | |
Mrs. Elizabeth Ann Dawson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3417 Anderson Healthcare Dr Ste 200, Edwardsville, IL 62025 Phone: 618-288-8500 |