| Dorrie C Tredway, MD | |
|
1512 N Green Mount Rd, Suite 108, O Fallon, IL 62269-2083 | |
| (618) 624-5510 | |
| (618) 624-5529 |
| Full Name | Dorrie C Tredway |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 1512 N Green Mount Rd, O Fallon, 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 |
|---|---|---|---|
| 1891787040 | NPI | - | NPPES |
| 156490007 | Other | MO | MO PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2008010712 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 036108951 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| St Johns Hospital | Springfield, 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 |
|---|---|
| Dorrie C Tredway, MD 1512 N Green Mount Rd, Suite 108, O Fallon, IL 62269-2083 Ph: (618) 624-5510 | Dorrie C Tredway, MD 1512 N Green Mount Rd, Suite 108, O Fallon, IL 62269-2083 Ph: (618) 624-5510 |
Dr. Noah M Cooperstein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269 Phone: 618-256-7311 | |
Dr. Patrick Bloecher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269 Phone: 618-233-7880 | |
Dr. Steven Allen Taylor, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1512 N Green Mount Rd Ste 108, O Fallon, IL 62269 Phone: 618-624-5510 Fax: 618-624-5529 | |
Dr. Vincent Joseph Duenas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 | |
Rema Sanghavi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1512 N Green Mount Rd Ste 108, O Fallon, IL 62269 Phone: 618-624-5510 Fax: 618-624-5529 | |
Dr. Kevin L Pritchett, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Springfield Ct, O Fallon, IL 62269 Phone: 618-632-3565 Fax: 618-632-7693 | |
Dr. James Leon Jablonski Ii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Springfield Ct, O Fallon, IL 62269 Phone: 618-632-3565 Fax: 618-632-7693 |