| Dr Richard Derby, MD | |
|
670 Pierce Blvd, O Fallon, IL 62269-2579 | |
| (618) 206-2094 | |
| Not Available |
| Full Name | Dr Richard Derby |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 670 Pierce Blvd, O Fallon, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295720845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 036126121 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hshs Medical Group Inc | 5092857821 | 181 |
| Entity Name | Hshs Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962644807 PECOS PAC ID: 5092857821 Enrollment ID: O20100116000275 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Derby, MD 670 Pierce Blvd, O Fallon, IL 62269-2579 Ph: (618) 206-2094 | Dr Richard Derby, MD 670 Pierce Blvd, O Fallon, IL 62269-2579 Ph: (618) 206-2094 |
Dr. Noah M Cooperstein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269 Phone: 618-256-7311 | |
Dr. Patrick Bloecher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269 Phone: 618-233-7880 | |
Dr. Steven Allen Taylor, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1512 N Green Mount Rd Ste 108, O Fallon, IL 62269 Phone: 618-624-5510 Fax: 618-624-5529 | |
Dr. Vincent Joseph Duenas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 | |
Rema Sanghavi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1512 N Green Mount Rd Ste 108, O Fallon, IL 62269 Phone: 618-624-5510 Fax: 618-624-5529 | |
Dr. Kevin L Pritchett, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Springfield Ct, O Fallon, IL 62269 Phone: 618-632-3565 Fax: 618-632-7693 | |
Dr. James Leon Jablonski Ii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Springfield Ct, O Fallon, IL 62269 Phone: 618-632-3565 Fax: 618-632-7693 |