Patrick Barry Renick, MD | |
180 S Main St, Canton, IL 61520-2608 | |
(309) 647-0201 | |
(309) 649-6880 |
Full Name | Patrick Barry Renick |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 19 Years |
Location | 180 S Main St, Canton, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760604193 | NPI | - | NPPES |
036119167 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036119167 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spoon River Home Hlth Services | Farmington, IL | Home health agency |
Carle Hospice | Champaign, IL | Hospice |
Hospice Compassus - Northwest Illinois | Galesburg, IL | Hospice |
Graham Hospital Association | Canton, IL | Hospital |
Saint Francis Medical Center | Peoria, IL | Hospital |
Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
Renaissance Care Center | Canton, IL | Nursing home |
Clayberg, The | Cuba, IL | Nursing home |
Farmington Country Manor | Farmington, IL | Nursing home |
Graham Hospital | Canton, IL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Methodist Medical Center Of Illinois | 1355259714 | 246 |
Graham Hospital Association | 2769375021 | 95 |
Entity Name | Methodist Medical Center Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
Entity Name | Graham Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780692087 PECOS PAC ID: 2769375021 Enrollment ID: O20040510000873 |
Mailing Address | Practice Location Address |
---|---|
Patrick Barry Renick, MD 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 | Patrick Barry Renick, MD 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 |
A Kurt Savegnago, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-6880 | |
James Morse Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2076 N Main St, Canton, IL 61520 Phone: 309-647-6090 | |
Suzanne E Holthaus, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-6880 | |
Joshua Bowers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 South Main Street, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-8949 | |
Chad Lampe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-6880 | |
John Howard Day, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-6880 | |
Todd A Lanser, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-6880 |