| Dr David Charles Weglicki Ii, DO | |
|
3050 Montvale Dr Ste A, Springfield, IL 62704-6924 | |
| (217) 726-8096 | |
| Not Available |
| Full Name | Dr David Charles Weglicki Ii |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 13 Years |
| Location | 3050 Montvale Dr Ste A, Springfield, 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 |
|---|---|---|---|
| 1932364627 | NPI | - | NPPES |
| 200015270 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2014024069 (Missouri) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 036135543 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Michigan Health - West | Wyoming, MI | Hospital |
| Riverside Methodist Hospital | Columbus, OH | Hospital |
| Ohiohealth Mansfield Hospital | Mansfield, OH | Hospital |
| Marion General Hospital | Marion, OH | Hospital |
| Grady Memorial Hospital | Delaware, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverside Radiology And Interventional Associates Inc | 8729976964 | 251 |
| Metropolitan Hospital | 5597651836 | 421 |
| Entity Name | Metropolitan Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811937519 PECOS PAC ID: 5597651836 Enrollment ID: O20040507000012 |
| Entity Name | Riverside Radiology and Interventional Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093718496 PECOS PAC ID: 8729976964 Enrollment ID: O20180411002073 |
| Entity Name | Radiology Associates of South Carolina LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083491906 PECOS PAC ID: 3779932959 Enrollment ID: O20241112000464 |
| Entity Name | Florida Radiology Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497510978 PECOS PAC ID: 2769829522 Enrollment ID: O20241121001374 |
| Entity Name | Pennsylvania Radiology Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184443921 PECOS PAC ID: 4385170810 Enrollment ID: O20250509002141 |
| Entity Name | Radiology Associates of North Carolina PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841015245 PECOS PAC ID: 8628507811 Enrollment ID: O20250521003220 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Charles Weglicki Ii, DO 2040 W Iles Ave Ste C, Springfield, IL 62704-4183 Ph: (217) 789-0668 | Dr David Charles Weglicki Ii, DO 3050 Montvale Dr Ste A, Springfield, IL 62704-6924 Ph: (217) 726-8096 |
Dr. Christopher John Norbet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 |
Sandra Scroggins, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-814-5178 Fax: 217-757-6458 |
Dr. Rebecca Nichole Mahon, PHD. DABR Radiology Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000 |
Dr. Terence Edward Wade, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 |
Kevin Coakley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 |
Dr. Benjamin Daniel Long, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 |
Danielle Hawthorne, Radiology Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St Box 43, Springfield, IL 62769 Phone: 217-814-5187 Fax: 217-757-6458 |