| Macoupin Family Practice Centers Llp | |
|
715 Broadway St Gillespie IL 62033-1166 | |
| (217) 839-4491 | |
| (217) 839-2689 |
| Full Name | Macoupin Family Practice Centers Llp |
|---|---|
| Speciality | Family Medicine |
| Location | 715 Broadway St, Gillespie, Illinois |
| Authorized Official Name and Position | Chris Philip Poirot (GENERAL PARTNER) |
| Authorized Official Contact | 2178394491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Macoupin Family Practice Centers Llp 715 Broadway St Gillespie IL 62033-1166 Ph: (217) 839-4491 | Macoupin Family Practice Centers Llp 715 Broadway St Gillespie IL 62033-1166 Ph: (217) 839-4491 |
| NPI Number | 1699899070 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 04/23/2008 |
| Medicare PECOS PAC ID | 2365350253 |
|---|---|
| Medicare Enrollment ID | O20050928000530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699899070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bruce Frank Weber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609870591 PECOS PAC ID: 3173431061 Enrollment ID: I20101110000202 |
| Provider Name | Brian Quarton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417951401 PECOS PAC ID: 5991613887 Enrollment ID: I20110209000813 |
| Provider Name | Hollie E Trettenero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811389935 PECOS PAC ID: 1759608136 Enrollment ID: I20150324000486 |
| Provider Name | Samantha Kay Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245706548 PECOS PAC ID: 0446504872 Enrollment ID: I20181121000244 |
| Provider Name | Anastasia Marie Dufner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730748005 PECOS PAC ID: 8022342500 Enrollment ID: I20221028000200 |
Macoupin County Recovery Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 W Chestnut St, Gillespie, IL 62033 Phone: 217-839-4200 Fax: 217-839-7207 | |
Gillespie Family Practice Ctr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 Broadway St, Gillespie, IL 62033 Phone: 217-839-4491 Fax: 217-839-2689 | |
Integrative Medical Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 N Macoupin St, Gillespie, IL 62033 Phone: 217-839-3040 | |
Carlinville Area Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 807 Broadway St, Gillespie, IL 62033 Phone: 217-854-3900 Fax: 217-839-1313 | |
Neuropathy Center Of Gillespie Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 N Macoupin St, Gillespie, IL 62033 Phone: 217-839-3040 | |
Staten Family Practice Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Virginia Ave, Gillespie, IL 62033 Phone: 217-851-5270 | |
Macoupin County Public Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-839-1526 Fax: 217-839-1538 |