| Dr Andrew James Lerrick, MD | |
|
207 Landmark Dr Ste A, Normal, IL 61761-3195 | |
| (309) 268-3200 | |
| Not Available |
| Full Name | Dr Andrew James Lerrick |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 41 Years |
| Location | 207 Landmark Dr Ste A, Normal, 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 |
|---|---|---|---|
| 1730185513 | NPI | - | NPPES |
| 04746778 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 288547 (Massachusetts) | Secondary |
| 207Y00000X | Otolaryngology | 036-082725 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Bromenn Medical Center | Normal, IL | Hospital |
| Advocate Eureka Hospital | Eureka, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carle Health Care Incorporated | 3577515774 | 1537 |
| Carle West Physician Group Inc | 8921420308 | 290 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew James Lerrick, MD 611 W Park St, Fapc, Urbana, IL 61801-2500 Ph: () - | Dr Andrew James Lerrick, MD 207 Landmark Dr Ste A, Normal, IL 61761-3195 Ph: (309) 268-3200 |
Jay K. Chauhan, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 207 Landmark Dr, Normal, IL 61761 Phone: 309-268-3200 | |
Dr. Thomas Charles Kelly, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 207 Landmark Dr, Suite A, Normal, IL 61761 Phone: 309-268-3200 |