| Andrew Robert Gage, MD | |
|
101 Coles Centre Dr, Mattoon, IL 61938-9314 | |
| (217) 234-5110 | |
| Not Available |
| Full Name | Andrew Robert Gage |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 101 Coles Centre Dr, Mattoon, 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 |
|---|---|---|---|
| 1013931567 | NPI | - | NPPES |
| 336064010 | Other | IL | ILLINOIS CONTROLLED SUBSTANCE LICENSE |
| 561920008 | Other | IL | MEDICARE PTAN |
| 036102275 | Medicaid | IL | |
| 371391171003 | Medicaid | IL | |
| 561920 | Other | IL | GROUP MEDICARE |
| 036102275 | Other | IL | ILLINOIS PHYSICIAN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036102275 (Illinois) | Primary |
| 208M00000X | Hospitalist | 036102275 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Anthonys Memorial Hospital | Effingham, IL | Hospital |
| Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hshs Medical Group Inc | 5092857821 | 181 |
| Entity Name | Hshs Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962644807 PECOS PAC ID: 5092857821 Enrollment ID: O20100116000275 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Robert Gage, MD 1207 Network Centre Dr, Suite 3, Effingham, IL 62401-4632 Ph: (217) 347-2707 | Andrew Robert Gage, MD 101 Coles Centre Dr, Mattoon, IL 61938-9314 Ph: (217) 234-5110 |
Dr. Dominic Perrino, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-238-4325 Fax: 217-348-4290 | |
Jagan Mohan Reddy Bokka I, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-238-4325 Fax: 217-348-4290 | |
Robert Wochner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1005 Health Center Drive, Suite 103, Mattoon, IL 61938 Phone: 217-258-4051 Fax: 217-258-4063 | |
Kristine Ross Carpenter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2512 Hurst Dr., Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-3686 | |
Margaret Louisa Tate, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2512 Hurst Dr Ste 120, Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-3686 | |
Dr. Dawn Miesner, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2512 Hurst Dr, Ste 120, Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-5904 |