| Mr Jeremy Paul Gerwe, MD | |
|
3412 Office Park Drive, Marion, IL 62959 | |
| (618) 993-0404 | |
| (618) 993-1717 |
| Full Name | Mr Jeremy Paul Gerwe |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 3412 Office Park Drive, Marion, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376683003 | NPI | - | NPPES |
| 7100080980 | Medicaid | KY | |
| 200947990 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 42607 (Kentucky) | Secondary |
| 208M00000X | Hospitalist | 036128431 (Illinois) | Secondary |
| 208000000X | Pediatrics | 036128431 (Illinois) | Primary |
| 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 |
| Entity Name | Good Samaritan Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325 |
| Entity Name | St Marys Hospital Centralia Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeremy Paul Gerwe, MD 3412 Office Park Drive, Marion, IL 62959 Ph: (618) 993-0404 | Mr Jeremy Paul Gerwe, MD 3412 Office Park Drive, Marion, IL 62959 Ph: (618) 993-0404 |
Carline Mekem Mbeumo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3412 Office Park Drive, Marion, IL 62959 Phone: 618-993-0404 Fax: 618-993-1717 | |
Dr. Ronald Chediak, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 W Deyoung St, Ste 524, Marion, IL 62959 Phone: 618-993-1421 | |
Mrs. Bindu Reddy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 East Walnut, Suite 6, Marion, IL 62901 Phone: 618-993-0404 Fax: 618-993-1717 | |
Dr. Ma Claravel Baricuatro Criste, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2102 Windsor Dr, Marion, IL 62959 Phone: 618-364-0348 | |
Erica Marie Grimm, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3412 Office Park Dr, Marion, IL 62959 Phone: 618-993-0404 Fax: 618-993-1717 | |
Sadashivaiah Bhaskar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3412 Office Park Dr, Marion, IL 62959 Phone: 618-993-0404 Fax: 618-993-1717 |