| Angela Stork, MD | |
|
855 Illini Dr Ste 304, Silvis, IL 61282-2904 | |
| (309) 281-2120 | |
| Not Available |
| Full Name | Angela Stork |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 14 Years |
| Location | 855 Illini Dr Ste 304, Silvis, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386932192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | R72675 (Arizona) | Secondary |
| 208600000X | Surgery | R9668 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
| Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgetown Physician Associates, Llc | 2365697398 | 197 |
| Entity Name | Georgetown Physician Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235475930 PECOS PAC ID: 2365697398 Enrollment ID: O20130225000067 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Stork, MD 855 Illini Dr Ste 304, Silvis, IL 61282-2904 Ph: (309) 281-2120 | Angela Stork, MD 855 Illini Dr Ste 304, Silvis, IL 61282-2904 Ph: (309) 281-2120 |
Dr. Benjamin David Acton, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 855 Illini Dr Ste 304, Silvis, IL 61282 Phone: 309-281-2120 Fax: 309-281-2129 | |
Andrew F Philip, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 855 Illini Dr Ste 304, Silvis, IL 61282 Phone: 309-281-2120 Fax: 309-281-2129 | |
Dr. George John Kontos Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 855 Illini Dr, Ste 304, Silvis, IL 61282 Phone: 309-281-2120 Fax: 309-281-2129 | |
Dr. Michael A Burchett, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 855 Illini Dr, Suite 304, Silvis, IL 61282 Phone: 309-281-2120 Fax: 309-281-2129 |