| Market Street Medical, Llc | |
|
117 E Market St Olney IL 62450-2241 | |
| (618) 392-1301 | |
| Not Available |
| Full Name | Market Street Medical, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 117 E Market St, Olney, Illinois |
| Authorized Official Name and Position | Kelly S. Eyer (MEMBER) |
| Authorized Official Contact | 6183922395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Market Street Medical, Llc 117 E Market St Olney IL 62450-2241 Ph: () - | Market Street Medical, Llc 117 E Market St Olney IL 62450-2241 Ph: (618) 392-1301 |
| NPI Number | 1831596733 |
|---|---|
| Provider Enumeration Date | 11/21/2014 |
| Last Update Date | 11/21/2014 |
| Medicare PECOS PAC ID | 3779897889 |
|---|---|
| Medicare Enrollment ID | O20150803002704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831596733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 209012101 (Illinois) | Primary |
| Provider Name | Kelly S Eyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033516935 PECOS PAC ID: 1850605965 Enrollment ID: I20150803002802 |
| Provider Name | Marlissa Boyles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316314933 PECOS PAC ID: 3870809072 Enrollment ID: I20150902002783 |
| Provider Name | Gail Mowrer Greathouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215060298 PECOS PAC ID: 3971781220 Enrollment ID: I20160328001494 |
| Provider Name | Dannette M Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689245458 PECOS PAC ID: 0941345532 Enrollment ID: I20211009000162 |
Richland Memorial Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N East St, Olney, IL 62450 Phone: 618-392-2940 | |
Yanci Jo Shroyer & Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1707 E Main St Ste 2, Olney, IL 62450 Phone: 317-442-4437 | |
Weber Medical Clinic Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N East St, Olney, IL 62450 Phone: 618-395-5222 Fax: 618-395-8552 | |
Bradley Houston M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 E Main St, Olney, IL 62450 Phone: 618-392-2940 Fax: 618-392-7225 | |
Carle Rmh Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 605 E Main St, Olney, IL 62450 Phone: 618-392-1140 | |
Todd Duerfeldt, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 N Boone St, Olney, IL 62450 Phone: 618-393-1300 Fax: 618-393-1303 | |
Donita Schrey Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Market Street Medical, 117 East Market Street, Olney, IL 62450 Phone: 618-392-1301 Fax: 618-392-1302 |