Gerio Primary Care Pc | |
291 E 2nd St Beckemeyer IL 62219-4202 | |
(618) 484-9030 | |
Not Available |
Full Name | Gerio Primary Care Pc |
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Speciality | Family Medicine |
Location | 291 E 2nd St, Beckemeyer, Illinois |
Authorized Official Name and Position | John A Flick (PHYSICIAN/OWNER) |
Authorized Official Contact | 6189773608 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gerio Primary Care Pc Po Box 127 Beckemeyer IL 62219-0127 Ph: (618) 484-9030 | Gerio Primary Care Pc 291 E 2nd St Beckemeyer IL 62219-4202 Ph: (618) 484-9030 |
NPI Number | 1700578846 |
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Provider Enumeration Date | 05/25/2023 |
Last Update Date | 05/25/2023 |
Medicare PECOS PAC ID | 0749640969 |
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Medicare Enrollment ID | O20230720000511 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700578846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Faisal Lala |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205965787 PECOS PAC ID: 9739280231 Enrollment ID: I20070727000684 |
Provider Name | John A Flick |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770782351 PECOS PAC ID: 9133314719 Enrollment ID: I20101109000442 |
Provider Name | Peter Mauricio Arrazola |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245473057 PECOS PAC ID: 5092964304 Enrollment ID: I20121002000337 |
Provider Name | Ali Albers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407380900 PECOS PAC ID: 0941571517 Enrollment ID: I20170801002274 |
Provider Name | Amanda Walden |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346730561 PECOS PAC ID: 1052666518 Enrollment ID: I20180625001846 |
Provider Name | Amber M Pendegraft |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710549613 PECOS PAC ID: 3678800315 Enrollment ID: I20190803000034 |
Provider Name | Danielle Lynn Frueh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013524487 PECOS PAC ID: 2668883257 Enrollment ID: I20211026001945 |
Provider Name | Jennifer L Felchlia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114659703 PECOS PAC ID: 1850776956 Enrollment ID: I20220909001166 |
Provider Name | Jodi Lynn Biggerstaff |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679347827 PECOS PAC ID: 4981053188 Enrollment ID: I20231213002967 |
Provider Name | Jessica Lyons |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477337293 PECOS PAC ID: 3577005297 Enrollment ID: I20240610003535 |