| Dr Richard M Farrell, MD | |
|
1 Medical Center Dr, Galena, IL 61036-8118 | |
| (815) 777-1340 | |
| (815) 776-7385 |
| Full Name | Dr Richard M Farrell |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1 Medical Center Dr, Galena, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861588360 | NPI | - | NPPES |
| 01630146 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036068003 | Medicaid | IL | |
| 110221461 | Other | IL | RR-MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-068003 (Illinois) | Primary |
| Entity Name | Midwest Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952409765 PECOS PAC ID: 5698771848 Enrollment ID: O20070301000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard M Farrell, MD 1 Medical Center Dr, Galena, IL 61036-8118 Ph: (815) 777-1340 | Dr Richard M Farrell, MD 1 Medical Center Dr, Galena, IL 61036-8118 Ph: (815) 777-1340 |
Debbie Ann Cihak, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Galena, IL 61036 Phone: 815-776-7381 Fax: 815-776-7385 | |
Maria Socorro Hernandez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10988 Bartel Blvd, Galena, IL 61036 Phone: 815-777-0900 Fax: 815-777-0903 | |
Ali M Malick, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Galena, IL 61036 Phone: 815-777-1340 Fax: 815-776-7385 |