Andrea M Humphrey, MD | |
305 W Jackson St, Ste 200, Carbondale, IL 62901-1474 | |
(618) 453-3777 | |
(618) 453-1102 |
Full Name | Andrea M Humphrey |
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Gender | Female |
Speciality | Family Medicine |
Location | 305 W Jackson St, Carbondale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265626105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Illinois) | Primary |
Entity Name | Amg-livingston Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699869297 PECOS PAC ID: 1052225760 Enrollment ID: O20031120000923 |
Mailing Address | Practice Location Address |
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Andrea M Humphrey, MD Po Box 19639, Springfield, IL 62794-9639 Ph: (217) 545-7578 | Andrea M Humphrey, MD 305 W Jackson St, Ste 200, Carbondale, IL 62901-1474 Ph: (618) 453-3777 |
Dr. Kowsika Movva, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 207 W Jackson St Ste 102, Carbondale, IL 62901 Phone: 618-457-0456 Fax: 618-457-2222 | |
Ashmeet Singh Sahni, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 W Oak St Ste 200, Carbondale, IL 62901 Phone: 618-536-6621 | |
Thomas Murphy, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 200, Carbondale, IL 62901 Phone: 618-536-6621 | |
Sandhya Rani Grandhi, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-457-4542 | |
Brian Jay Reach, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 217-545-8000 | |
Jordyn Audrey Drake, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-536-6621 | |
Scott K Schonewolf, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St, Suite 200, Carbondale, IL 62901 Phone: 618-453-3777 Fax: 618-453-1102 |