| Joseph Albert Amavisca, MD | |
|
100 Medical Dr, Hannibal, MO 63401-6877 | |
| (573) 221-5250 | |
| (573) 221-3706 |
| Full Name | Joseph Albert Amavisca |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 100 Medical Dr, Hannibal, Missouri |
| 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 |
|---|---|---|---|
| 1316178189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD156341 (Oregon) | Secondary |
| 207Q00000X | Family Medicine | 2025012600 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blessing Hospital | Quincy, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blessing Hospital | 3072422534 | 369 |
| Blessing Hospital | 3072422534 | 369 |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Entity Name | Legacy Meridian Park Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184647620 PECOS PAC ID: 5092609842 Enrollment ID: O20040211001181 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Albert Amavisca, MD 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-8400 | Joseph Albert Amavisca, MD 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 | |
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 |