Timothy J Penn, MD | |
4802 S State Route 159, Glen Carbon, IL 62034-1904 | |
(618) 288-4388 | |
(618) 288-4927 |
Full Name | Timothy J Penn |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 28 Years |
Location | 4802 S State Route 159, Glen Carbon, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124003439 | NPI | - | NPPES |
036092240 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 036092240 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anderson Medical Group Llc | 5193792018 | 122 |
Entity Name | Anderson Medical Group Llc |
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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 |
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Timothy J Penn, MD 4802 S State Route 159, Glen Carbon, IL 62034-1904 Ph: (618) 288-4388 | Timothy J Penn, MD 4802 S State Route 159, Glen Carbon, IL 62034-1904 Ph: (618) 288-4388 |
James Sola, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4388 Fax: 618-288-4927 | |
Craig A Beyer, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4388 Fax: 618-288-4927 | |
Peter J Anderson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4804 S State Route 159 Ste 10, Glen Carbon, IL 62034 Phone: 618-391-5080 | |
Dr. David Shiyu Zhu, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4802 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4388 | |
Paul J Scherer, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4804 S State Route 159 Ste 10, Glen Carbon, IL 62034 Phone: 618-391-5080 |