| Dr Michael P Vercimak, MD | |
|
1405 E 12th St, Suite 200, Mendota, IL 61342-1495 | |
| (815) 539-3831 | |
| (815) 538-4202 |
| Full Name | Dr Michael P Vercimak |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1405 E 12th St, Mendota, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366500852 | NPI | - | NPPES |
| 0005000301 | Other | IL | BCBS |
| 020002934 | Other | RR MEDICARE | |
| 020002934 | Other | PALMETTO | |
| 020002934 | Other | GBA | |
| 036067743 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036067743 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael P Vercimak, MD 1405 E 12th St, Suite 200, Mendota, IL 61342-1495 Ph: (815) 539-3831 | Dr Michael P Vercimak, MD 1405 E 12th St, Suite 200, Mendota, IL 61342-1495 Ph: (815) 539-3831 |
Eric A Kivisto, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1405 E 12th St, Suite 500, Mendota, IL 61342 Phone: 815-539-1789 Fax: 815-539-1430 |