| Dr Kelly L Cox, MD | |
|
1005 Broadway St, Quincy, IL 62301-2834 | |
| (217) 223-8400 | |
| (217) 223-9945 |
| Full Name | Dr Kelly L Cox |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1005 Broadway St, Quincy, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518182906 | NPI | - | NPPES |
| 00110123 | Other | IL | BLUE SHIELD |
| 036106270 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036106270 (Illinois) | Primary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 036106270 (Illinois) | Secondary |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| Entity Name | Mendota Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407872997 PECOS PAC ID: 2264335777 Enrollment ID: O20040131000102 |
| Entity Name | Pekin Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245355411 PECOS PAC ID: 4789676438 Enrollment ID: O20040401000798 |
| Entity Name | Mcdonough County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669420766 PECOS PAC ID: 0446140180 Enrollment ID: O20040611000228 |
| Entity Name | Epss Peoria Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831421056 PECOS PAC ID: 1850587007 Enrollment ID: O20101130000569 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265966048 PECOS PAC ID: 1355259714 Enrollment ID: O20170828003194 |
| Entity Name | Epss Llc - Central Series |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538680467 PECOS PAC ID: 6204192016 Enrollment ID: O20171110002604 |
| Entity Name | Epss, Llc- Metro Series |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124782305 PECOS PAC ID: 6608266713 Enrollment ID: O20211203002440 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly L Cox, MD 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-8400 | Dr Kelly L Cox, MD 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-8400 |
Dr. Mark Baker, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 | |
Bruce Stoops, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 927 Broadway St Ste 106, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-277-3974 | |
Jacob Robert Fenster, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-277-3960 | |
Antony S Wollaston, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-9945 | |
Dr. Spencer David Smith, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1005 Broadway St, Department Of Emergency Medicine, Quincy, IL 62301 Phone: 217-223-8400 | |
Jason E. Sharp, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 | |
Dr. David Jay Eckersley, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 |