| Mark Wavrunek, | |
|
4800 Maine St, Quincy, IL 62305-5875 | |
| (217) 214-3823 | |
| Not Available |
| Full Name | Mark Wavrunek |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 10 Years |
| Location | 4800 Maine St, Quincy, 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 |
|---|---|---|---|
| 1194107607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 41000333A (Indiana) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016005840 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blessing Hospital | Quincy, IL | Hospital |
| Illini Community Hospital | Pittsfield, IL | Hospital |
| Mc Donough District Hospital | Macomb, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blessing Hospital | 3072422534 | 349 |
| Provider Name | Blessing Corporate Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720186265 PECOS PAC ID: 5991616138 Enrollment ID: O20040116000382 |
| Provider Name | Blessing Corporate Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851311641 PECOS PAC ID: 5991616138 Enrollment ID: O20050222000479 |
| Provider Name | Blessing Hospital |
|---|---|
| Provider Type | Part B Supplier - Hospital Department(s) |
| Provider Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20161005001836 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Wavrunek, 4800 Maine St, Quincy, IL 62305-5875 Ph: (217) 214-3823 | Mark Wavrunek, 4800 Maine St, Quincy, IL 62305-5875 Ph: (217) 214-3823 |
Midwest Foot And Ankle Specialists Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3740 E Lake Ctr, Quincy, IL 62305 Phone: 217-223-3668 Fax: 217-223-3412 | |
Mr. Shwetal B Patel, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1118 Hampshire St, Quincy, IL 62301 Phone: 217-222-6550 | |
Dr. Douglas John Freel, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1118 Hampshire St, Quincy, IL 62301 Phone: 217-222-6550 | |
Dr. Thomas J Wensing, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 601 S 8th St, Quincy, IL 62301 Phone: 217-222-6266 | |
Dr. Linda R Wensing, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 601 S 8th St, Quincy, IL 62301 Phone: 217-222-6266 | |
Quincy Family Foot Care, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 601 S 8th St, Quincy, IL 62301 Phone: 217-222-6266 |