Tanner Craig Eiben, DO | |
612 N 11th St, Quincy, IL 62301-2662 | |
(217) 224-9484 | |
(217) 224-7950 |
Full Name | Tanner Craig Eiben |
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Gender | Male |
Speciality | Family Medicine |
Location | 612 N 11th St, Quincy, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710472964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | 125.073359 (Illinois) | Secondary |
207Q00000X | Family Medicine | 125.073359 (Illinois) | Primary |
Entity Name | Blessing Corporate Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851311641 PECOS PAC ID: 5991616138 Enrollment ID: O20050222000479 |
Entity Name | Board Of Trustees Of Southern Illinois University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019 |
Entity Name | Blessing Hospital |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20161005001836 |
Mailing Address | Practice Location Address |
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Tanner Craig Eiben, DO 201 E Madison St Ste 328, Springfield, IL 62702-5131 Ph: (217) 545-8000 | Tanner Craig Eiben, DO 612 N 11th St, Quincy, IL 62301-2662 Ph: (217) 224-9484 |
Pichapa Sangsawad, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 612 N 11th St, Quincy, IL 62301 Phone: 217-224-9484 | |
Jonathan Wilford, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 927 Broadway St, Suite 121, Quincy, IL 62301 Phone: 217-224-6423 Fax: 217-277-5960 | |
Taylor J. Moore, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Dana B Altman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Jason Chak Sham Hui, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 612 N 11th St, Quincy, IL 62301 Phone: 217-224-9484 Fax: 217-224-7950 | |
Timothy W. Jacobs, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Laica Mae Basingan Arcibal, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 612 N 11th St, Quincy, IL 62301 Phone: 217-224-9484 Fax: 217-224-7950 |