| Dr David L Priebe, MD | |
|
3986 Maryville Rd, Granite City, IL 62040-4191 | |
| (618) 797-0618 | |
| (618) 797-2243 |
| Full Name | Dr David L Priebe |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Sports Medicine |
| Location | 3986 Maryville Rd, Granite City, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194769166 | NPI | - | NPPES |
| 47081633613 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 66430 (Wisconsin) | Primary |
| Entity Name | Solantic/south Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851344378 PECOS PAC ID: 5496762171 Enrollment ID: O20060321000740 |
| Entity Name | Solantic Of Jacksonville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407893100 PECOS PAC ID: 1052409307 Enrollment ID: O20071120000271 |
| Entity Name | Hma-solantic Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689812109 PECOS PAC ID: 6002955788 Enrollment ID: O20091209000716 |
| Entity Name | Shands-solantic Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558595223 PECOS PAC ID: 4183764178 Enrollment ID: O20091223000343 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David L Priebe, MD 3986 Maryville Rd, Granite City, IL 62040-4191 Ph: (618) 797-0618 | Dr David L Priebe, MD 3986 Maryville Rd, Granite City, IL 62040-4191 Ph: (618) 797-0618 |
Crisale Cosas, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3000 | |
Kevin L Bell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2407 Corporate Ctr Ste C, Granite City, IL 62040 Phone: 618-779-6782 |