| Dr Christa S Pestka, MD | |
|
14410 Route 37, Johnston City, IL 62951-1427 | |
| (618) 983-6911 | |
| (618) 983-6913 |
| Full Name | Dr Christa S Pestka |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 14410 Route 37, Johnston City, 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 |
|---|---|---|---|
| 1356342331 | NPI | - | NPPES |
| CF3444 | Other | IL | MEDICARE RR |
| 036107039 | Medicaid | IL | |
| 370966854023 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-107039 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lhc-illinois Home Health Care | Marion, IL | Home health agency |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Heartland Regional Medical Center | Marion, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christopher Greater Area Rural Health Planning Corp | 8224947387 | 46 |
| Select Physical Therapy Holdings Inc | 9537076401 | 1463 |
| Entity Name | Christopher Greater Area Rural Health Planning Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639159213 PECOS PAC ID: 8224947387 Enrollment ID: O20040109000561 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christa S Pestka, MD Po Box 155, Christopher, IL 62822-0155 Ph: (618) 724-2401 | Dr Christa S Pestka, MD 14410 Route 37, Johnston City, IL 62951-1427 Ph: (618) 983-6911 |
Mr. Donald Lee Griffin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 14410 Route 37, Johnston City, IL 62951 Phone: 618-937-6409 Fax: 618-937-1619 |