Mr Orie R Potter, PAC MPAS | |
1400 E Carroll, Macomb, IL 61455 | |
(309) 833-2500 | |
(309) 833-1760 |
Full Name | Mr Orie R Potter |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 1400 E Carroll, Macomb, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477514958 | NPI | - | NPPES |
371352599001 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 001876 (Iowa) | Secondary |
363A00000X | Physician Assistant | 085000614 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Orie R Potter, PAC MPAS Po Box 198, Oquawka, IL 61469-0198 Ph: (309) 867-2202 | Mr Orie R Potter, PAC MPAS 1400 E Carroll, Macomb, IL 61455 Ph: (309) 833-2500 |
Michelle M Bowen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 E Carroll St, Suite B, Macomb, IL 61455 Phone: 309-833-2500 Fax: 309-833-1760 | |
Mrs. Kathryn Coker, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 525 E Grant St, Macomb, IL 61455 Phone: 309-836-1542 |