Dr Daniel Richard Lygrisse, DO | |
104 E Ashland Ave, Mt Zion, IL 62549-1271 | |
(217) 864-2665 | |
Not Available |
Full Name | Dr Daniel Richard Lygrisse |
---|---|
Gender | Male |
Speciality | Hand Surgery |
Experience | 6 Years |
Location | 104 E Ashland Ave, Mt Zion, 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 |
---|---|---|---|
1518306489 | NPI | - | NPPES |
H601150 | Other | OH | MEDICARE |
0282518 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 34.013284 (Ohio) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | 5101020360 (Michigan) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Proctor Hospital | Peoria, IL | Hospital |
Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
Graham Hospital Association | Canton, IL | Hospital |
Saint Francis Medical Center | Peoria, IL | Hospital |
Decatur Memorial Hospital | Decatur, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Orthopaedic Center S C | 8022917715 | 40 |
Entity Name | Pana Community Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942326970 PECOS PAC ID: 3274437348 Enrollment ID: O20031121000350 |
Entity Name | Midwest Orthopaedic Center S C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710938006 PECOS PAC ID: 8022917715 Enrollment ID: O20040106000226 |
Entity Name | Decatur Orthopedic Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336586114 PECOS PAC ID: 4981844289 Enrollment ID: O20130710000446 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel Richard Lygrisse, DO 104 E Ashland Ave, Mt Zion, IL 62549-1271 Ph: (217) 864-2665 | Dr Daniel Richard Lygrisse, DO 104 E Ashland Ave, Mt Zion, IL 62549-1271 Ph: (217) 864-2665 |