| Antony S Wollaston, MD | |
|
1005 Broadway St, Quincy, IL 62301-2834 | |
| (217) 223-8400 | |
| (217) 223-9945 |
| Full Name | Antony S Wollaston |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1005 Broadway St, Quincy, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326263682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 036108246 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 036108246 (Illinois) | Primary |
| Entity Name | Blessing Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255515342 PECOS PAC ID: 3072422534 Enrollment ID: O20040330001155 |
| Mailing Address | Practice Location Address |
|---|---|
| Antony S Wollaston, MD 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-8400 | Antony S Wollaston, MD 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-8400 |
Dr. Mark Baker, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 | |
Bruce Stoops, D.O. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 927 Broadway St Ste 106, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-277-3974 | |
Dr. Vincent Boston, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 | |
Jacob Robert Fenster, Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-277-3960 | |
Dr. Spencer David Smith, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1005 Broadway St, Department Of Emergency Medicine, Quincy, IL 62301 Phone: 217-223-8400 | |
Jason E. Sharp, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 |