| Dr Nickolas John Gillette, DO | |
|
100 Medical Dr, Hannibal, MO 63401-6877 | |
| (573) 221-5250 | |
| (573) 231-3716 |
| Full Name | Dr Nickolas John Gillette |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 100 Medical Dr, Hannibal, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598074353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2010019755 (Missouri) | Primary |
| Entity Name | Blessing Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20171221000766 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nickolas John Gillette, DO 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-8400 | Dr Nickolas John Gillette, DO 100 Medical Dr, Hannibal, MO 63401-6877 Ph: (573) 221-5250 |
Adam Samaritoni, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Family Medicine, Hannibal, MO 63401 Phone: 573-629-3440 Fax: 573-629-3415 | |
Joseph Albert Amavisca, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Dr, Hannibal, MO 63401 Phone: 573-221-5250 Fax: 573-221-3706 | |
Hossein Behniaye, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3400 Fax: 573-629-3414 | |
Dr. Leslie A Mccoy, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Dr, Hannibal, MO 63401 Phone: 573-231-3132 Fax: 573-231-3716 | |
Dr. Erick O Calmet Del Castillo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3440 Fax: 573-629-3423 | |
Dr. Lent C Johnson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Dr, Hannibal, MO 63401 Phone: 573-231-3141 Fax: 573-231-3710 | |
Dr. Allyson Lynn Munch, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3400 Fax: 573-629-3423 |